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Accuracy of amniotic fluid testing before 21 weeks' gestation in prenatal diagnosis of congenital cytomegalovirus infection
Authors:Catherine Donner MD  Corinne Liesnard  Françoise Brancart  Frederic Rodesch
Institution:1. Laboratory of Virology, Höpital Universitaire Erasme, Free University of Brussels, Brussels, Belgium;2. Department of Obstetrics and Gynecology, Höpital Universitaire Erasme, Free University of Brussels, Brussels, Belgium
Abstract:Cytomegalovirus (CMV) is the most common cause of intrauterine infection. Recent publications show amniocentesis to have an 81–100 per cent sensitivity in antenatal diagnosis after 21 weeks' gestation. Testing before 21 weeks' gestation is less well documented. We performed 36 amniocenteses between 14 and 20 weeks' gestation. The sensitivity was 45 per cent and the specificity 100 per cent. Implications and possible causes of this low sensitivity are discussed.
Keywords:Cytomegalovirus  amniocentesis  prenatal diagnosis  fetus
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