{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T12:15:27Z","timestamp":1789992927031,"version":"4.0.1"},"reference-count":60,"publisher":"Walter de Gruyter GmbH","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,3,26]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"j_jpm-2019-0331_s_999_w2aab3b8c15b1b7b1aab1c17b1Aa\"><jats:title>Background<\/jats:title><jats:p>Outcome of congenital cytomegalovirus (cCMV) infection in the absence of routine CMV screening and third-trimester scan in North America is scarcely documented. The aim of this study was to assess the severe outcomes related to cCMV according to the indication for screening.<\/jats:p><\/jats:sec><jats:sec id=\"j_jpm-2019-0331_s_998_w2aab3b8c15b1b7b1aab1c17b2Aa\"><jats:title>Methods<\/jats:title><jats:p>This was a retrospective study of 84 mother-child pairs followed for cCMV between 2003 and 2017 at CHU Sainte-Justine in Montreal, Canada. Prenatal ultrasound, neonatal symptoms, neuroimaging and severe outcomes (cerebral palsy, severe cognitive impairment, bilateral hearing loss or neonatal death) were reviewed.<\/jats:p><\/jats:sec><jats:sec id=\"j_jpm-2019-0331_s_997_w2aab3b8c15b1b7b1aab1c17b3Aa\"><jats:title>Results<\/jats:title><jats:p>Among 38 cases with abnormal prenatal ultrasound, 41.9% of live-born infants developed severe outcomes. Sixteen (42.1%) were detected in the third trimester. Among 16 cases diagnosed prenatally because of maternal history, all had normal prenatal ultrasound, and none developed severe outcomes. Among cases diagnosed postnatally because of neonatal symptoms, 25% developed severe outcomes. All infants who developed severe outcomes had moderate\/severe neonatal symptoms.<\/jats:p><\/jats:sec><jats:sec id=\"j_jpm-2019-0331_s_996_w2aab3b8c15b1b7b1aab1c17b4Aa\"><jats:title>Conclusion<\/jats:title><jats:p>Outcome of cCMV infection varies according to the reason for screening and timing of diagnosis. Any prenatal ultrasound anomaly might indicate a risk of severe outcome, and warrants a detailed ultrasound scan. However, late detection, or postnatal diagnosis, represented more than half of the cases, and awareness of this will help ensuring optimal management.<\/jats:p><\/jats:sec>","DOI":"10.1515\/jpm-2019-0331","type":"journal-article","created":{"date-parts":[[2020,2,7]],"date-time":"2020-02-07T09:01:06Z","timestamp":1581066066000},"page":"234-241","source":"Crossref","is-referenced-by-count":6,"title":["Prenatal findings, neonatal symptoms and neurodevelopmental outcome of congenital cytomegalovirus infection in a university hospital in Montreal, Quebec"],"prefix":"10.1515","volume":"48","author":[{"given":"Anne-Fr\u00e9d\u00e9rique","family":"Minsart","sequence":"first","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Universit\u00e9 de Montr\u00e9al \u2013 Sainte-Justine University Hospital, Montreal, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7oise","family":"Rypens","sequence":"additional","affiliation":[{"name":"Department of Radiology, Universit\u00e9 de Montr\u00e9al \u2013 Sainte-Justine University Hospital, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mina","family":"Smiljkovic","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Pediatrics, Universit\u00e9 de Montr\u00e9al \u2013 Sainte-Justine University Hospital, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatima","family":"Kakkar","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Pediatrics, Universit\u00e9 de Montr\u00e9al \u2013 Sainte-Justine University Hospital, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Renaud","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Pediatrics, Universit\u00e9 de Montr\u00e9al \u2013 Sainte-Justine University Hospital, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Val\u00e9rie","family":"Lamarre","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Pediatrics, Universit\u00e9 de Montr\u00e9al \u2013 Sainte-Justine University Hospital, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Boucher","sequence":"additional","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Universit\u00e9 de Montr\u00e9al \u2013 Sainte-Justine University Hospital, Montreal, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabelle","family":"Boucoiran","sequence":"additional","affiliation":[{"name":"Women and Children Infectious Diseases Center, CHU Sainte-Justine, 3175 C\u00f4te Sainte-Catherine, Montreal, H3T 1C5, QC, Canada"},{"name":"Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology and of Social and Preventive Medicine, Universit\u00e9 de Montr\u00e9al, Montreal, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","reference":[{"key":"ref91","doi-asserted-by":"crossref","first-page":"380.e1","DOI":"10.1016\/j.ajog.2007.09.052","article-title":"Ultrasound prediction of symptomatic congenital cytomegalovirus infection","volume":"198","year":"2008","journal-title":"Am J Obstet Gynecol"},{"key":"ref201","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1186\/s12887-019-1562-z","article-title":"Head ultrasound, CT or MRI? 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