Understanding Cytomegalovirus (CMV) Infection

A Comprehensive Guide for Patients

Internal Medicine

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Last updated: Mar 24, 2025

What is CMV?

Cytomegalovirus (CMV) is a common herpesvirus that can infect people of all ages. Once infected, your body retains the virus for life, though it usually remains dormant in healthy individuals.

Key Facts

  • CMV affects 50-80% of adults by age 40
  • Usually harmless in healthy individuals
  • Can cause serious complications in immunocompromised people
  • Can be dangerous during pregnancy

Transmission

CMV spreads through:

  • Body fluids (saliva, urine, blood)
  • Sexual contact
  • Breast milk
  • Organ transplantation
  • From mother to baby during pregnancy

Symptoms

In Healthy Adults:

  • Most people have no symptoms
  • Some may experience:
    • Mild fever
    • Fatigue
    • Sore throat
    • Swollen lymph nodes

In High-Risk Individuals:

  • Severe pneumonia
  • Vision problems
  • Digestive tract issues
  • Organ inflammation

Diagnosis

  • Blood tests
  • PCR testing
  • Tissue biopsy (in specific cases)

Treatment

For Healthy Individuals:

  • Usually no treatment needed
  • Rest and supportive care

For High-Risk Patients:

  • Antiviral medications
  • Regular monitoring
  • Preventive strategies

Prevention

  1. Practice good hygiene
  2. Wash hands frequently
  3. Avoid sharing utensils
  4. Take extra precautions during pregnancy

When to See a Doctor

Seek medical attention if:

  • You're pregnant and suspect exposure
  • You have a weakened immune system
  • You develop persistent symptoms

Long-term Management

  • Regular check-ups for high-risk patients
  • Immune system monitoring
  • Preventive strategies
  • Lifestyle modifications

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