How Do You Know If You Have CMV?
Babies. Babies infected before birth who become sick with CMV have symptoms affecting many major organs including the liver, brain, eyes, and lungs. The baby may suffer from convulsions, lethargy, a rash that looks like tiny red pinpoints on the skin, and breathing problems. Surviving babies often have such permanent damage as mental retardation, small brain or water on the brain (micro- or hydrocephalus), hearing loss, eye inflammations, poor coordination, and liver disease.
Children. Young children have few, if any symptoms. They may experience a mild cold- or flulike illness with fever, but you can’t tell it apart from any other mild viral illness.
Adults. Very few adults, including pregnant women, have any symptoms. Symptoms will be so mild—achiness, a low fever, sore throat—that you won’t be aware you are sick.
Tests
Because the virus is excreted in blood, urine, saliva, cervical secretions, and breast milk, CMV can be grown in any of these samples. It is not difficult to grow the virus, and the test is available in most large hospital and commercial labs. The virus grows slowly, however, and you may wait from two to six weeks for results.
You can also have your blood tested for the CMV antibody. If you have the antibody, you’ve been previously infected with CMV, but this test won’t tell whether the virus is present in your blood, urine, or saliva.
Newborns with possible congenital CMV infection must have virus cultured from their urine, nose, eyes, or spinal fluid to confirm CMV as the cause of illness.
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