Detection of parvovirus B19, cytomegalovirus and enterovirus infections in cases of intrauterine fetal death

Verfasser / Beitragende:
[Karin Petersson, Oscar Norbeck, Magnus Westgren, Kristina Broliden]
Ort, Verlag, Jahr:
2004
Enthalten in:
Journal of Perinatal Medicine, 32/6(2004-11-04), 516-521
Format:
Artikel (online)
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024 7 0 |a 10.1515/JPM.2004.128  |2 doi 
035 |a (NATIONALLICENCE)gruyter-10.1515/JPM.2004.128 
245 0 0 |a Detection of parvovirus B19, cytomegalovirus and enterovirus infections in cases of intrauterine fetal death  |h [Elektronische Daten]  |c [Karin Petersson, Oscar Norbeck, Magnus Westgren, Kristina Broliden] 
520 3 |a Aims: Maternal infections with parvovirus B19, cytomegalovirus (CMV) and enterovirus have been associated with intrauterine fetal death (IUFD), but the incidence of these infections is not clear. This prospective study was conducted to estimate this incidence. Methods: A prospective study of 38 months was conducted on cases of IUFD referred to Huddinge University Hospital, Stockholm, Sweden. Placental biopsies, fetal blood and amniotic fluid were collected from cases of IUFD (n=52). Placental biopsies from normal pregnancies at term (n=53) were used as controls. These tissues were examined for parvovirus B19 DNA, CMV DNA and enterovirus RNA using polymerase chain reaction (PCR). Maternal viral serology was measured in 46 cases and virus isolation for enterovirus in maternal stool samples was performed in 31 cases. Results: Viral nucleic acid was recovered in at least one tissue sample from six cases of fetal death (parvovirus B19 in two cases, CMV in three and enterovirus in one), while all placental biopsies from controls were found negative. Serological signs of primary maternal infection were found in two of the cases, and virus isolation for enterovirus was negative in all samples examined. Conclusion: Parvovirus B19, CMV and enterovirus may be considered as etiologic agents in cases of fetal death. PCR on placental and/or fetal tissue improves diagnostic accuracy for these infections. 
540 |a © Walter de Gruyter 
690 7 |a Human reproduction, growth & development  |2 nationallicence 
690 7 |a Gynaecology & obstetrics  |2 nationallicence 
690 7 |a Paediatric medicine  |2 nationallicence 
690 7 |a Cytomegalovirus  |2 nationallicence 
690 7 |a Enterovirus  |2 nationallicence 
690 7 |a Fetal death  |2 nationallicence 
690 7 |a Parvovirus B19  |2 nationallicence 
690 7 |a Pregnancy  |2 nationallicence 
690 7 |a Stillbirth  |2 nationallicence 
700 1 |a Petersson  |D Karin  |u Department of Obstetrics and Gynecology, Karolinska Institutet, Karolinska University Hospital, Huddinge, Sweden  |4 aut 
700 1 |a Norbeck  |D Oscar  |u Division of Clinical Virology, Karolinska Institutet, Karolinska University Hospital, Huddinge, Sweden  |4 aut 
700 1 |a Westgren  |D Magnus  |u Department of Obstetrics and Gynecology, Karolinska Institutet, Karolinska University Hospital, Huddinge, Sweden  |4 aut 
700 1 |a Broliden  |D Kristina  |u Division of Clinical Virology, Karolinska Institutet, Karolinska University Hospital, Huddinge, Sweden  |4 aut 
773 0 |t Journal of Perinatal Medicine  |d Walter de Gruyter  |g 32/6(2004-11-04), 516-521  |x 0300-5577  |q 32:6<516  |1 2004  |2 32  |o jpme 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Petersson  |D Karin  |u Department of Obstetrics and Gynecology, Karolinska Institutet, Karolinska University Hospital, Huddinge, Sweden  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Norbeck  |D Oscar  |u Division of Clinical Virology, Karolinska Institutet, Karolinska University Hospital, Huddinge, Sweden  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Westgren  |D Magnus  |u Department of Obstetrics and Gynecology, Karolinska Institutet, Karolinska University Hospital, Huddinge, Sweden  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Broliden  |D Kristina  |u Division of Clinical Virology, Karolinska Institutet, Karolinska University Hospital, Huddinge, Sweden  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Perinatal Medicine  |d Walter de Gruyter  |g 32/6(2004-11-04), 516-521  |x 0300-5577  |q 32:6<516  |1 2004  |2 32  |o jpme 
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