Infections à cytomégalovirus : Questions médicales fréquentes
Nom anglais: Cytomegalovirus Infections
Descriptor UI:D003586
Tree Number:C01.925.256.466.245
Termes MeSH sélectionnés :
Vestibular Function Tests
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"headline": "Diagnostic sur Infections à cytomégalovirus",
"description": "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 ?",
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"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 ?",
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"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 ?",
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"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 ?",
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"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 ?",
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"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 ?",
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"@type": "Question",
"name": "Comment diagnostique-t-on une infection à CMV ?",
"position": 1,
"acceptedAnswer": {
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"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."
}
}
]
}
]
}
A growing number of vestibular function tests are utilized to differentiate and verify the diagnosis of vestibular neuritis. The aim of this study is to retrospectively investigate the consistency of ...
We reviewed a total of 37 adult patients (mean age: 39.03 ± 11.67, 19 females, 18 males) who met the inclusion criteria with a prediagnosis of vestibular neuritis from 379 patients suffering vestibula...
The highest statistically significant K value was found between horizontal vHIT and ocular VEMP (K = 0.707; good grade, p < 0.05). All the tests compared with CVT were poorly in agreement (K = 0.288; ...
VEMP and vHIT tests have prominent diagnostic value and agree with each other for detecting and differentiating the types of vestibular neuritis. Further studies should aim to include cutting-edge tec...
To evaluate the efficacy of the head rotation test with bowing (B-HRT) in the sitting position in diagnosing lateral semicircular canal benign paroxysmal positional vertigo (LSC-BPPV)....
The efficacy outcomes of lateralization of 25 patients with LSC-BPPV were prospectively evaluated using B-HRT. Traditional head toration in the supine position (S-HRT) and the bow and lean test were a...
Direction-changing nystagmus was detected in all patients with LSC-BPPV (100%) using B-HRT. The nystagmus direction (geotropic or apogeotropic) determined by B-HRT was consistent with that determined ...
B-HRT in the sitting position identified direction-changing nystagmus in LSC-BPPV. B-HRT is helpful in facilitating the diagnosis of LSC-BPPV in the sitting position and determination of the affected ...
To examine the correlation of video head impulse test, functional head impulse test and Dizziness Handicap Inventory results in patients with chronic unilateral vestibular loss, and to compare the res...
Forty-eight patients diagnosed with chronic unilateral vestibular loss and 35 healthy individuals, aged 18-65 years, were included. The video head impulse test, functional head impulse test and Dizzin...
A significant positive correlation was found between functional head impulse test and video head impulse test results for the study group in all semicircular canals (...
In chronic unilateral vestibular loss patients, with high head accelerations, the functional head impulse test indicates deterioration in vestibulo-ocular reflex functionality. It would be beneficial ...
The occurrence of direction-reversing nystagmus during positional testing in patients with benign paroxysmal positional vertigo (BPPV) is not uncommon. Further in-depth analysis of the characteristics...
Retrospective study....
Single-center study....
A total of 575 patients with BPPV who visited the Vertigo Clinic of our hospital between April 2017 and June 2021 were enrolled....
Dix-Hallpike and supine roll tests were performed. The nystagmus was recorded using videonystagmography. The characteristics of direction-reversing nystagmus and the possible underlying mechanism were...
Patients with BPPV who showed reversal nystagmus accounted for 9.39% (54 of 575) of all BPPV patients visiting our hospital during the same period, of which 5.57% (32 of 575) had horizontal semicircul...
The cause of second-phase nystagmus in BPPV patients with direction-reversing nystagmus may be related to the involvement of central adaptation mechanisms secondary to the overpowering mSPV of the fir...
The vestibular system is responsible for motion perception and balance preservation in the body. The vestibular function examination is useful for determining the cause of associated symptoms, diagnos...
This study recorded nystagmus and EEG data throughout the caloric test. Four phases were considered according to the vestibular activation status: before activation, activation, fixation suppression, ...
The results showed that, when the vestibule was activated, the alpha power of the occipital region increased, and the beta power of the central and top regions and the occipital region on the left dec...
Our findings offer a fresh perspective on cortical electrophysiology for the assessment of vestibular function by demonstrating that the relative power change in EEG rhythms can be used to assess vest...
To separate posterior-circulation stroke (PCS) and vestibular-neuritis (VN) using quantitative vestibular tests....
Patients were prospectively recruited from the emergency room within 72 h of presentation. Video-nystagmography (VNG), three-dimensional video head-impulse testing (vHIT), vestibular-evoked myogenic p...
There were 128 PCS and 134 VN patients. Common stroke-territories were: posterior-inferior cerebellar artery, basilar-perforators, multi-territory and anterior-inferior cerebellar artery (41.4%, 21.1%...
Quantitative vestibular testing helps separate stroke from vestibular neuritis and, when used, could improve diagnostic accuracy in the emergency room....
To evaluate the difference between the vestibular autorotation test (VAT) in the peripheral and central acute vestibular syndrome (AVS)....
A total of 332 patients with AVS were recruited, including 282 patients in the peripheral group and 50 patients in the central group. The horizontal gain of both groups showed a downward trend at 2-6 ...
The increased horizontal and vertical gain of VAT in patients with AVS is of high value in the diagnosis of ACS. Significant differences in the results of VAT in patients with central and peripheral A...
Virtual reality (VR) offers an ecological setting and the possibility of altered visual feedback during head movements useful for vestibular research and treatment of vestibular disorders. There is ho...
Twelve healthy subjects underwent video HIT using both a standard setup (vHIT) and VR-HIT. In VR, eye and head positions were recorded by using, respectively, an imbedded eye tracker and an infrared m...
Eye and head motion recording during normal visual feedback as well as during all 3 altered conditions was successful. There was no significant difference in VOR gain in VR-HIT between normal, half, f...
Our VR setup allowed high quality recording of eye and head data during head impulse test under normal and altered visual feedback conditions. This setup could be used to investigate compensation mech...
Patients with the cardinal symptoms "vertigo" or "dizziness" may be a real challenge for the treating otorhinolaryngologist. While the first part of this educational series was focused on history taki...
Recurrent and episodic vestibular symptoms not fulfilling criteria for known episodic vestibular syndromes are named as recurrent vestibulopathy (RV). We aimed to compare the vestibular test results o...
Twenty patients with MD, 20 patients with VM, 18 patients with RV, and 20 healthy volunteers (HC) were evaluated. Pure-tone hearing thresholds (PTHTs), video head impulse test (vHIT), functional head ...
PTHT of the MD-affected ears were significantly high, and cVEMP-corrected amplitudes were low when compared with the VM, RV, and HC (p < 0.001 for all). Amplitude asymmetry ratio was significantly hig...
Apart from hearing loss, low cVEMP amplitudes on the affected side were the main feature in MD differentiating it from VM and RV. Vestibular test results of patients with RV and VM were similar. Low f...