Titre : Infections à cytomégalovirus

Infections à cytomégalovirus : Questions médicales fréquentes

Termes MeSH sélectionnés :

Recovery of Function
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"Comment diagnostique-t-on une infection à CMV ?\nQuels tests sont utilisés pour détecter le CMV ?\nLes symptômes aident-ils au diagnostic ?\nLe diagnostic est-il différent chez les nouveau-nés ?\nPeut-on diagnostiquer le CMV par imagerie ?", "url": "https://questionsmedicales.fr/mesh/D003586?mesh_terms=Recovery+of+Function&page=2#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Infections à cytomégalovirus", "description": "Quels sont les symptômes courants d'une infection à CMV ?\nLes infections à CMV peuvent-elles être asymptomatiques ?\nQuels symptômes chez les immunodéprimés ?\nLe CMV peut-il affecter les yeux ?\nY a-t-il des symptômes spécifiques chez les nouveau-nés ?", "url": "https://questionsmedicales.fr/mesh/D003586?mesh_terms=Recovery+of+Function&page=2#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Infections à cytomégalovirus", "description": "Comment prévenir les infections à CMV ?\nLes femmes enceintes doivent-elles se méfier du CMV ?\nLes vaccins contre le CMV existent-ils ?\nLe lavage des mains aide-t-il à prévenir le CMV ?\nLes personnes immunodéprimées doivent-elles être isolées ?", "url": "https://questionsmedicales.fr/mesh/D003586?mesh_terms=Recovery+of+Function&page=2#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Infections à cytomégalovirus", "description": "Quels traitements sont disponibles pour le CMV ?\nLe traitement est-il nécessaire pour tous les patients ?\nY a-t-il des effets secondaires des traitements ?\nLe traitement préventif est-il possible ?\nCombien de temps dure le traitement du CMV ?", "url": "https://questionsmedicales.fr/mesh/D003586?mesh_terms=Recovery+of+Function&page=2#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Infections à cytomégalovirus", "description": "Quelles sont les complications possibles du CMV ?\nLe CMV peut-il causer des problèmes de vision ?\nY a-t-il des complications chez les nouveau-nés ?\nLe CMV peut-il affecter le système nerveux ?\nLes complications sont-elles plus fréquentes chez les immunodéprimés ?", "url": "https://questionsmedicales.fr/mesh/D003586?mesh_terms=Recovery+of+Function&page=2#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Infections à cytomégalovirus", "description": "Qui est le plus à risque d'infection à CMV ?\nLe contact avec des enfants augmente-t-il le risque ?\nLes personnes ayant reçu une greffe sont-elles à risque ?\nLe sexe influence-t-il le risque d'infection ?\nLes personnes vivant avec le VIH sont-elles à risque ?", "url": "https://questionsmedicales.fr/mesh/D003586?mesh_terms=Recovery+of+Function&page=2#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostique-t-on une infection à CMV ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Le diagnostic repose sur des tests sanguins, des cultures virales et des biopsies." } }, { "@type": "Question", "name": "Quels tests sont utilisés pour détecter le CMV ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Les tests sérologiques, PCR et cultures cellulaires sont couramment utilisés." } }, { "@type": "Question", "name": "Les symptômes aident-ils au diagnostic ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les symptômes cliniques peuvent orienter le diagnostic, mais des tests sont nécessaires." } }, { "@type": "Question", "name": "Le diagnostic est-il différent chez les nouveau-nés ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le diagnostic chez les nouveau-nés inclut des tests spécifiques comme l'audiométrie." } }, { "@type": "Question", "name": "Peut-on diagnostiquer le CMV par imagerie ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "L'imagerie peut montrer des anomalies, mais le diagnostic nécessite des tests spécifiques." } }, { "@type": "Question", "name": "Quels sont les symptômes courants d'une infection à CMV ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent fièvre, fatigue, douleurs musculaires et éruptions cutanées." } }, { "@type": "Question", "name": "Les infections à CMV peuvent-elles être asymptomatiques ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Oui, de nombreuses personnes infectées par le CMV ne présentent aucun symptôme." } }, { "@type": "Question", "name": "Quels symptômes chez les immunodéprimés ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Chez les immunodéprimés, les symptômes peuvent inclure pneumonie, hépatite et rétinite." } }, { "@type": "Question", "name": "Le CMV peut-il affecter les yeux ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le CMV peut provoquer une rétinite, entraînant des problèmes de vision." } }, { "@type": "Question", "name": "Y a-t-il des symptômes spécifiques chez les nouveau-nés ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les nouveau-nés peuvent présenter des symptômes comme des problèmes d'audition et des éruptions." } }, { "@type": "Question", "name": "Comment prévenir les infections à CMV ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "La prévention inclut l'hygiène, l'évitement du contact avec les fluides corporels infectés." } }, { "@type": "Question", "name": "Les femmes enceintes doivent-elles se méfier du CMV ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le CMV peut être transmis au fœtus, il est donc important de prendre des précautions." } }, { "@type": "Question", "name": "Les vaccins contre le CMV existent-ils ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Actuellement, il n'existe pas de vaccin approuvé contre le CMV, mais des recherches sont en cours." } }, { "@type": "Question", "name": "Le lavage des mains aide-t-il à prévenir le CMV ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Oui, un bon lavage des mains peut réduire le risque de transmission du CMV." } }, { "@type": "Question", "name": "Les personnes immunodéprimées doivent-elles être isolées ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Oui, il est conseillé d'isoler les personnes immunodéprimées des porteurs du CMV." } }, { "@type": "Question", "name": "Quels traitements sont disponibles pour le CMV ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Les traitements incluent les antiviraux comme le ganciclovir et le foscarnet." } }, { "@type": "Question", "name": "Le traitement est-il nécessaire pour tous les patients ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Non, le traitement est souvent réservé aux cas graves ou aux personnes immunodéprimées." } }, { "@type": "Question", "name": "Y a-t-il des effets secondaires des traitements ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les antiviraux peuvent provoquer des effets secondaires comme des nausées et des neutropénies." } }, { "@type": "Question", "name": "Le traitement préventif est-il possible ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des traitements préventifs peuvent être administrés aux patients à haut risque." } }, { "@type": "Question", "name": "Combien de temps dure le traitement du CMV ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "La durée du traitement varie, mais elle peut durer plusieurs semaines à plusieurs mois." } }, { "@type": "Question", "name": "Quelles sont les complications possibles du CMV ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent pneumonie, hépatite, rétinite et troubles neurologiques." } }, { "@type": "Question", "name": "Le CMV peut-il causer des problèmes de vision ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le CMV peut entraîner une rétinite, provoquant des pertes de vision." } }, { "@type": "Question", "name": "Y a-t-il des complications chez les nouveau-nés ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les nouveau-nés peuvent souffrir de troubles auditifs et de retards de développement." } }, { "@type": "Question", "name": "Le CMV peut-il affecter le système nerveux ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le CMV peut provoquer des encéphalites et d'autres troubles neurologiques." } }, { "@type": "Question", "name": "Les complications sont-elles plus fréquentes chez les immunodéprimés ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les personnes immunodéprimées sont à risque accru de complications graves liées au CMV." } }, { "@type": "Question", "name": "Qui est le plus à risque d'infection à CMV ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les personnes immunodéprimées, les nouveau-nés et les femmes enceintes sont à risque élevé." } }, { "@type": "Question", "name": "Le contact avec des enfants augmente-t-il le risque ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le contact avec des enfants, qui excrètent souvent le virus, augmente le risque." } }, { "@type": "Question", "name": "Les personnes ayant reçu une greffe sont-elles à risque ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les receveurs de greffe sont particulièrement vulnérables aux infections à CMV." } }, { "@type": "Question", "name": "Le sexe influence-t-il le risque d'infection ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Non, le sexe n'influence pas significativement le risque d'infection à CMV." } }, { "@type": "Question", "name": "Les personnes vivant avec le VIH sont-elles à risque ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les personnes vivant avec le VIH sont à risque accru d'infections à CMV." } } ] } ] }

Sources (10000 au total)

Functional Recovery During Inpatient Rehabilitation in Children With Anoxic or Hypoxic Brain Injury.

To (1) describe characteristics of children with anoxic or hypoxic brain injuries (AnHBI) who presented to an inpatient rehabilitation unit, (2) explore functional outcomes of children with AnHBI at d... Retrospective cohort study.... Pediatric inpatient rehabilitation hospital in the Northeast United States.... A total of 46 children and adolescents ages 11 months to 18 years admitted to an inpatient rehabilitation brain injury unit (1994-2018) for a first inpatient admission after AnHBI.... Not applicable.... Pediatric Cerebral Performance Category Scale (PCPC), Pediatric Overall Performance Category, and Functional Independence Measure for Children developmental functional quotients (WeeFIM DFQs) total an... Most children had no disability before injury (PCPC=normal, n=37/46) and displayed significant functional impairments at admission to inpatient rehabilitation (PCPC=normal/mild, n=1/46). WeeFIM and PC... In this group of children with AnHBI who received inpatient rehabilitation, functional status improves significantly between rehabilitation admission and discharge. By discharge, many children continu...

Impact of intravenous dexmedetomidine on postoperative gastrointestinal function recovery: an updated meta-analysis.

Postoperative ileus (POI) is a complication that may occur after abdominal or nonabdominal surgery. Intravenous dexmedetomidine (Dex) has been reported to accelerate postoperative gastrointestinal fun... To identify randomized controlled trials examining the effects of perioperative intravenous Dex on gastrointestinal function recovery in patients undergoing noncardiac surgery, databases including MED... The meta-analysis of 22 randomized controlled trials with 2566 patients showed that Dex significantly reduced the time to flatus [mean difference (MD):-7.19 h, P <0.00001), time to oral intake (MD: -6... Perioperative intravenous Dex may enhance postoperative gastrointestinal function recovery and reduce LOS, thereby validating its use in patients for whom postoperative ileus is a significant concern....

Factors associated with failure of cardiopulmonary function recovery after lung cancer surgery.

This study aimed to evaluate the longitudinal changes in cardiopulmonary function (CPF) and identify predictors of cardiopulmonary recovery failure after lung cancer surgery.... Data was obtained from a prospective CATCH-LUNG cohort study, where patients were divided into two groups based on 6-min walk distance (6MWD) at baseline and 6 months after surgery. CPF recovery failu... Among 419 patients, 24.1% and 17.7% showed failure of CPF recovery at 6 months and 1 year after surgery, respectively. In the multivariable analysis, baseline step count [RR per 1000 steps lower = 1.0... The inability to recover CPF at 6 months after surgery was linked to reduction of lung function and MVPA from baseline to 2 weeks as well as baseline physical activity (PA) and dyspnoea. These results...

Cross-validation of predictive models for functional recovery after post-stroke rehabilitation.

Rehabilitation treatments and services are essential for the recovery of post-stroke patients' functions; however, the increasing number of available therapies and the lack of consensus among outcome ... A dataset of 278 post-stroke patients was used for the prediction of the class transition, obtained from the modified Barthel Index. Four classification algorithms were cross-validated and compared. O... The Random Forest obtained the best overall results on the accuracy (76.2%), balanced accuracy (74.3%), sensitivity (0.80), and specificity (0.68). The combination of all the classification results on... Despite a more comprehensive assessment of the patients is needed, this work paves the way for the implementation of solutions for clinical decision support in the rehabilitation of post-stroke patien...

Retinal Damage and Visual Network Reconfiguration Defines Visual Function Recovery in Optic Neuritis.

Recovery of vision after acute optic neuritis (AON) is critical to improving the quality of life of people with demyelinating diseases. The objective of the study was to prospectively assess the chang... We studied a prospective cohort of 88 consecutive patients with AON with 6-month follow-up using high and low-contrast (2.5%) visual acuity, color vision, retinal thickness from optical coherence tomo... We found that after 6 months, low-contrast vision and quality of vision remained moderately impaired. The thickness of the ganglion cell layer at baseline was a predictor of low-contrast vision 6 mont... The assessment of the visual pathway at baseline predicts permanent vision disability after AON, indicating that damage is produced early after disease onset and that it can be used for defining visio...

Adrenal function recovery after durable oral corticosteroid sparing with benralizumab in the PONENTE study.

Oral corticosteroid (OCS) dependence among patients with severe eosinophilic asthma can cause adverse outcomes, including adrenal insufficiency. PONENTE's OCS reduction phase showed that, following be... The maintenance phase assessed the durability of corticosteroid reduction and further adrenal function recovery. For ∼6 months, patients continued benralizumab 30 mg every 8 weeks without corticostero... 598 patients entered PONENTE; 563 (94.1%) completed the reduction phase and entered the maintenance phase. From the end of reduction to the end of maintenance, the median (range) OCS dosage was unchan... Most patients successfully maintained maximal OCS reduction while achieving improved asthma control with few exacerbations and maintaining or recovering adrenal function....

Changes of cortico-cortical neural connections associated with motor functional recovery after stroke.

During functional recovery after stroke, some neural connections in the brain are augmented and new neural networks are constructed to compensate for impaired neurological functions. Recently, it was ... Twenty-two post-stroke hemiparetic patients admitted to our rehabilitation ward (mean age at admission: 71.4 ± 12.9 years old), were studied. For the evaluation of hemiparesis, Fugl-Meyer Assessment (... The correlation coefficients in some cortico-cortical areas of the lesional hemisphere, such as C3-F3 or C4-F4, C3-F7 or C4-F8, and F3-F7 or F4-F8, significantly increased with rehabilitation training... The augmentation of cortico-cortical connections, represented by an increase of the correlation coefficient in the lesional hemisphere, may contribute to motor functional recovery, especially in hemip...

Prediction model of renal function recovery for primary membranous nephropathy with acute kidney injury.

The clinical and pathological impact factors for renal function recovery in acute kidney injury (AKI) on the progression of renal function in primary membranous nephropathy (PMN) with AKI patients hav... Two PMN with AKI cohorts from the Nephrology Department, the First Affiliated Hospital of Wenzhou Medical University during 2012-2018 and 2019-2020 were included, i.e., a derivation cohort during 2012... Renal function recovery was found in 72 of 124 (58.1%) patients and 41 of 72 (56.9%) patients in the derivation and validation cohorts, respectively. The prognostic nomogram model included determinant... The predictive nomogram model provides useful prognostic tool for renal function recovery in PMN patients with AKI....

Comparison of Functional Recovery Between Unicompartmental and Total Knee Arthroplasty: A Randomized Controlled Trial.

Comparisons of functional recovery between unicompartmental knee arthroplasty (UKA) and total knee arthroplasty (TKA) using performance-based tests are lacking. Therefore, this study aimed to compare ... We conducted a randomized controlled trial comparing medial UKA and TKA in patients with isolated medial knee OA. A total of 110 patients were enrolled; after 11 exclusions, 99 patients (50 UKA, 49 TK... The mean 2MWT distance after UKA was significantly longer than that after TKA at 6 weeks (96.5 ± 22.6 m for UKA compared with 81.1 ± 19.1 m for TKA; difference, 18 m [95% confidence interval (CI),10.4... The 2MWT indicated that UKA for isolated medial knee OA enabled faster recovery than TKA did at 6 weeks to 6 months, and earlier recovery was also seen with the TUG at 6 weeks to 3 months. The 2MWT an... Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence....