Congenital cytomegalovirus infection - a common cause of hearing loss of unknown aetiology

Acta Paediatr. 2012 Aug;101(8):e357-62. doi: 10.1111/j.1651-2227.2012.02711.x. Epub 2012 May 16.

Abstract

Aim: The aim of this study was to investigate the role of congenital cytomegalovirus (CMV) infection as a cause of various types of sensorineural hearing loss (SNHL) in a group of nonsyndromic children with otherwise unknown aetiology of hearing loss. Furthermore, the occurrence of combined congenital CMV infection and connexin 26 (Cx26) mutations was investigated.

Methods: The dried blood spot (DBS) cards of 45 children with various degrees of hearing deficits and 46 children with severe/profound hearing loss were tested for CMV DNA with polymerase chain reaction (PCR) technique. The DBS cards of the 46 children with severe/profound hearing loss were also analysed for Cx26 mutations.

Results: Of the 45 children with various degrees of hearing loss, nine were positive for CMV DNA (20%). The nine children represented severe/profound, mild and unilateral hearing loss. From the 46 children with severe/profound hearing loss, nine of 46 (20%) were positive for CMV DNA. In addition, three of the CMV DNA-positive children were carriers of mutations of Cx26.

Conclusion: Congenital CMV infection is a high risk factor in hearing impairment among children.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Child
  • Cohort Studies
  • Connexin 26
  • Connexins / genetics*
  • Cytomegalovirus / genetics
  • Cytomegalovirus / isolation & purification
  • Cytomegalovirus Infections / complications*
  • Cytomegalovirus Infections / congenital
  • Cytomegalovirus Infections / diagnosis
  • DNA, Viral / analysis
  • Dried Blood Spot Testing
  • Genetic Markers
  • Hearing Loss, Bilateral / genetics
  • Hearing Loss, Bilateral / virology
  • Hearing Loss, Sensorineural / genetics
  • Hearing Loss, Sensorineural / virology*
  • Hearing Loss, Unilateral / genetics
  • Hearing Loss, Unilateral / virology
  • Humans
  • Mutation
  • Polymerase Chain Reaction
  • Registries
  • Retrospective Studies
  • Risk Factors
  • Severity of Illness Index

Substances

  • Connexins
  • DNA, Viral
  • GJB2 protein, human
  • Genetic Markers
  • Connexin 26