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CC BY 4.0 · AJP Rep 2025; 15(02): e89-e93
DOI: 10.1055/a-2619-2338
Case Report

Fetal Cytomegalovirus Associated Intraventricular Hemorrhage: A Rare Prenatal Complication

Vincent D. Tang 
1   Division of Maternal-Fetal Medicine, Lehigh Valley Health Network, Allentown, Pennsylvania
,
Jennifer Heibig
2   Department of Obstetrics and Gynecology, Lehigh Valley Health Network, Allentown, Pennsylvania
,
Joanne N. Quiñones Rivera
3   Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Lehigh Valley Health Network, Allentown, Pennsylvania
,
Albert P. Sarno
1   Division of Maternal-Fetal Medicine, Lehigh Valley Health Network, Allentown, Pennsylvania
,
Meredith Rochon
1   Division of Maternal-Fetal Medicine, Lehigh Valley Health Network, Allentown, Pennsylvania
› Author Affiliations
Funding Paid consultant for Natera as part of their National Advisory Board regarding prenatal genetic testing, <$10,000 a year compensation including reimbursement for travel. Topic not related to this case report.
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Abstract

Intraventricular hemorrhage (IVH) is an uncommon manifestation of congenital cytomegalovirus (CMV) infection. We report a case of primary CMV infection associated with preterm labor as well as fetal anemia, thrombocytopenia, and IVH. The finding of unexplained IVH on ultrasound provided an indication for testing of congenital infection. Our case indicates the need for detailed sonographic imaging in pregnancies complicated by preterm labor, as the integration of ultrasound diagnosis can significantly impact management and improve perinatal outcomes.

Keywords

cytomegalovirus - intraventricular hemorrhage - fetal ultrasound - prenatal diagnosis - congenital infection


Publication History

Received: 03 April 2025

Accepted: 21 April 2025

Accepted Manuscript online:
23 May 2025

Article published online:
11 June 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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