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Kobalt Job Box – Cytomegalovirus (CMV) infection during pregnancy is certainly one of the infections whose mechanism of action is most controversial. In fact, there is currently no over-the-counter drug. Maternal to fetal transmission is particularly important during early infection.

When a fetus is infected with CMV, it is estimated that 90% will be asymptomatic (ie no sequelae), with 10% showing neurosensory sequelae.

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It is secreted in saliva, tears, digestive system, respiratory system, urine, sexual secretion, milk.

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This is certainly one of the most important things to consider when considering some of the treatment options we have.

Then, if there is a positive test after 4 weeks and not before 22 weeks of amenorrhea, detection of the virus in the amniotic fluid (this is an important basis for diagnosing the child’s infection).

In the case of a positive result, the child should be carefully monitored by a reference sonographer to detect abnormalities in the brain, with echo-Doppler to detect vascular images, with the possible use of an MRI of the child.

In cases of neurological or visceral damage (especially liver) planning will be done in agreement with the family.

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PS: A study conducted in Scandinavia shows the effectiveness of treatment with “Ganciclovir”, other studies are ongoing.

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