Antiviral Treatment of Maternal and Congenital Cytomegalovirus (CMV) Infections

Human Cytomegalovirus (HCMV) is a ubiquitous member of the Herpesviridae family, responsible for the most common congenital viral infection—congenital Cytomegalovirus (cCMV) infection. While a majority of HCMV infections in children and adults are asymptomatic, HCMV is well known to cause severe inf...

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Main Authors: Swetha Pinninti, Suresh Boppana
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/15/10/2116
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author Swetha Pinninti
Suresh Boppana
author_facet Swetha Pinninti
Suresh Boppana
author_sort Swetha Pinninti
collection DOAJ
description Human Cytomegalovirus (HCMV) is a ubiquitous member of the Herpesviridae family, responsible for the most common congenital viral infection—congenital Cytomegalovirus (cCMV) infection. While a majority of HCMV infections in children and adults are asymptomatic, HCMV is well known to cause severe infections in the immunocompromised individual and maternal infections with variable long-term sequelae after maternal–fetal transmission with primary or nonprimary infections. HCMV seroprevalence and cCMV incidence vary by geographic area and demographic characteristics like race and socioeconomic status. While cCMV birth prevalence ranges from 0.2% to 6% in different parts of the world, it is influenced by regional HCMV seroprevalence rates. HCMV screening during pregnancy is not routinely offered due to lack of awareness, hurdles to accurate diagnosis, and lack of well-established effective treatment options during pregnancy. This review will focus on antiviral treatment options currently available for use during pregnancy and in the newborn period for the treatment of maternal and congenital HCMV infections.
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spelling doaj.art-b9636279c4ee4ae5a94441f41c832e1b2023-11-19T18:28:33ZengMDPI AGViruses1999-49152023-10-011510211610.3390/v15102116Antiviral Treatment of Maternal and Congenital Cytomegalovirus (CMV) InfectionsSwetha Pinninti0Suresh Boppana1Department of Pediatrics, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL 35233, USADepartment of Pediatrics, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL 35233, USAHuman Cytomegalovirus (HCMV) is a ubiquitous member of the Herpesviridae family, responsible for the most common congenital viral infection—congenital Cytomegalovirus (cCMV) infection. While a majority of HCMV infections in children and adults are asymptomatic, HCMV is well known to cause severe infections in the immunocompromised individual and maternal infections with variable long-term sequelae after maternal–fetal transmission with primary or nonprimary infections. HCMV seroprevalence and cCMV incidence vary by geographic area and demographic characteristics like race and socioeconomic status. While cCMV birth prevalence ranges from 0.2% to 6% in different parts of the world, it is influenced by regional HCMV seroprevalence rates. HCMV screening during pregnancy is not routinely offered due to lack of awareness, hurdles to accurate diagnosis, and lack of well-established effective treatment options during pregnancy. This review will focus on antiviral treatment options currently available for use during pregnancy and in the newborn period for the treatment of maternal and congenital HCMV infections.https://www.mdpi.com/1999-4915/15/10/2116cytomegaloviruscongenitalganciclovirvalacyclovirmaternal–fetal infections
spellingShingle Swetha Pinninti
Suresh Boppana
Antiviral Treatment of Maternal and Congenital Cytomegalovirus (CMV) Infections
Viruses
cytomegalovirus
congenital
ganciclovir
valacyclovir
maternal–fetal infections
title Antiviral Treatment of Maternal and Congenital Cytomegalovirus (CMV) Infections
title_full Antiviral Treatment of Maternal and Congenital Cytomegalovirus (CMV) Infections
title_fullStr Antiviral Treatment of Maternal and Congenital Cytomegalovirus (CMV) Infections
title_full_unstemmed Antiviral Treatment of Maternal and Congenital Cytomegalovirus (CMV) Infections
title_short Antiviral Treatment of Maternal and Congenital Cytomegalovirus (CMV) Infections
title_sort antiviral treatment of maternal and congenital cytomegalovirus cmv infections
topic cytomegalovirus
congenital
ganciclovir
valacyclovir
maternal–fetal infections
url https://www.mdpi.com/1999-4915/15/10/2116
work_keys_str_mv AT swethapinninti antiviraltreatmentofmaternalandcongenitalcytomegaloviruscmvinfections
AT sureshboppana antiviraltreatmentofmaternalandcongenitalcytomegaloviruscmvinfections