Navegando por Palavras-chave "Ultrasonografia pré-natal"
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- ItemAcesso aberto (Open Access)Citomegalovirose congênita: relato de caso(Federação Brasileira das Sociedades de Ginecologia e Obstetrícia, 2005-12-01) Azevedo, Patrícia de Fátima; Souza, Alex Sandro Rolland de; Noronha Neto, Carlos; Lima, Marcelo Marques de Souza [UNIFESP]; Cardoso, Alexandre Silva; Porto, Ana Maria Feitosa; Instituto Materno Infantil Prof. Fernando Figueira IMIP; Universidade Federal de São Paulo (UNIFESP)Congenital cytomegalovirus infection is an important clinical entity, due to its sonographic symptomatology. In Brazil, in utero diagnosis is not accomplished despite the improvements in diagnostic methods. We report a congenital infection including: splenomegaly and hepatomegaly, hypoplasia of the cerebellar vermis, intracranial calcifications, hyperechoic kidneys, hyperechoic bowel, cardiomegaly, lung hypoplasia, ascites, and pericardial effusion. Fetal magnetic resonance imaging confirmed the sonographic findings. Amniocentesis was performed for cytomegalovirus PCR in amniotic fluid, which confirmed fetal infection. Fetal loss occurred in the 31st week of pregnancy. Necropsy studies confirmed the sonographic findings. The diagnostic methods have been useful to confirm congenital cytomegalovirus infection and to establish fetal outcome.