Case | Saliva (screening sample) CMV PCR | Urine CMV PCR* | Dried blood spot (DBS) CMV PCR | Blood CMV PCR (copies/mL)* | Infant serology* | Clinical assessment (birthweight, head circumference, clinical examination) | Hearing | Eye exam | Blood count and liver function | Cranial imaging | Treated |
---|---|---|---|---|---|---|---|---|---|---|---|
1 | Positive day 15 | Negative day 17 Positive day 43 | Negative | Not tested | IgM positive IgG low avidity Day 43 | Normal | Normal | Normal | Normal | USS: Normal MRI: Normal | No |
2 | Positive day 1 | Positive day 11 | Negative | Not detected | Not done | Normal | Normal | Normal | Normal | USS: Normal | No |
3 | Positive day 6 | Positive day 23 | Positive | 3.1×104 day 23 | Not done | Normal | Profound unilateral SNHL | Normal | Normal | USS: subependymal cysts | Valganciclovir 6 weeks |
4 | Positive day 0 | Positive day 8 | Negative | <2×103 day 8 | Not done | Normal | Normal | Normal | Normal | USS: Normal | No |
5 | Positive day 0 | Positive day 13 | Negative | 7.7×103 day 13 | Not done | Normal | Profound unilateral SNHL | Normal | Normal | USS: subependymal cysts | Valganciclovir 6 weeks |
6 | Positive day 3 | Positive day 10 | Positive | 1.2×104 day 10 | Not done | Small for Gestational Age (2nd centile) | Moderate unilateral SNHL | Normal | Normal | USS: subependymal cysts MRI: normal | Valganciclovir 6 weeks |
*Where samples taken by local PID team. Bold typeface indicates where abnormal clinical finding identified.
cCMV, congenital cytomegalovirus; PID, Paediatric Infectious Diseases; SNHL, sensorineural hearing loss; USS, ultrasound scan.