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Speciality Spotlight
Cytomegalovirus
Infection & HIV
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Cytomegalovirus Infection and HIV-1 Disease Progression in Infants Born to HIV-1-infected Women.
A Kovacs, for the Pediatric Pulmonary and Cardiovascular Complications of Vertically Transmitted HIV Infection Study Group (Univ of Southern California, Los Angeles).
N Engl J Med 341: 77-84, 1999
Background – Cytomegalovirus (CMV) appears to play a role in the progression of HIV-1 disease progression was studied in 365 uninfected patients and 75 HIV-1 infected patients.
Infants with and without HIV-1 infection have similar rates of CMV infection in utero. However, HIV-1 infected infants have greater rates of CMV infection acquired perinatally or in the first 4 years of life. Co-infection with CMV is significantly associated with rapid HIV-1 disease progression and, in some children, early devastating CNS disease. Future studies should focus on strategies to prevent CMV infection in these high-risk babies.