Fetal cytomegalovirus infection

Case contributed by Fabien Ho
Diagnosis certain

Presentation

Routine 2nd trimester screening

Patient Data

Age: 24 weeks gestation
ultrasound

Sagittal images and videos showed numerous bright echogenic thick foci on the ventricular walls as well as alongside the thalamocaudate groove, including the thalami.

There was mild ventricular dilation as well as subjective enlargement of the pericerebral spaces.

Case Discussion

All the aforementioned elements led us to look out for infectious fetopathy as the most likely diagnosis to ascertain first.
We performed an amniocentesis, and PCR testing for cytomegalovirus was positive. PCR for parvovirus B19 and herpes simplex virus were negative.
Serologies for toxoplasmosis, rubeola, and syphilis were also negative.
Therefore our diagnosis was CMV-induced fetopathy.

Case published with Dr Fabrice Cuillier.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.