Table 2

Screening, diagnostic and clinical assessment results on infants identified with cCMV

Case Saliva (screening sample) CMV PCRUrine CMV PCR*Dried blood spot (DBS) CMV PCRBlood CMV PCR (copies/mL)*Infant serology*Clinical assessment (birthweight, head circumference, clinical examination)HearingEye examBlood count and liver functionCranial imagingTreated
1Positive day 15Negative day 17 Positive day 43NegativeNot testedIgM positive
IgG low avidity
Day 43
NormalNormalNormalNormalUSS: Normal
MRI: Normal
No
2Positive day 1Positive day 11NegativeNot detectedNot doneNormalNormalNormalNormalUSS: NormalNo
3Positive day 6Positive day 23Positive3.1×104 day 23Not doneNormalProfound unilateral SNHLNormalNormalUSS: subependymal cystsValganciclovir 6 weeks
4Positive day 0Positive day 8Negative<2×103 day 8Not doneNormalNormalNormalNormalUSS: NormalNo
5Positive day 0Positive day 13Negative7.7×103 day 13Not doneNormalProfound unilateral SNHLNormalNormalUSS: subependymal cystsValganciclovir 6 weeks
6Positive day 3Positive day 10Positive1.2×104 day 10Not doneSmall for Gestational Age (2nd centile)Moderate unilateral SNHLNormalNormalUSS: 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.