Congenital viral infections

CMV

  • sensorineural hearing loss, chorioretinitis, congenital cataracts, microcephaly, deranged LFTs
  • Management: ganciclovir, valganciclovir
  • most dangerous when exposed in 1st trimester
  • placental-fetal transmission
  • sensorineural deafness, cataracts, microcephaly, IUGR
  • insufficient evidence for normal immunoglobulin for prevention of congenital rubella in the fetus
  • Management:
  • Prevention: rubella immunity screening