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Re: Pregnancy,liver transplant.C.M.V +IgMFrom: Carlos Agustin Wolff M.D. (carwolff@infovia.com.ar)Wed Aug 4 10:35:57 1999
We are writing with regard to one of our patients. She is 25 years old, G2 P0 A1 (spontaneus) LMP 19/05/1999 DOD 23/02/2000, and is now in her 11th week of pregnancy. In 1997 her liver had to be removed and transplanted due to a cirrosis from a persistent chronic hepatitis. She is under inmunosupression and nifedipina treatment. Besides she has tested positive to CMV (Ig G + Ig M +) In 1997 she recived vancyclovir intravenously during 25 days. Now she remain +IgM +IgG We would like to know: 1- What if any, are the posible consequences for the fetus of the inmunosupression treatment the mother has undergone? 2- Why does she get Ig M+ against CMV after two years of treatment? Has the virus become active again? 3- What is the course of action, treatment recommended during pregnancy, birth and post natal care? 4- Would you be so kind as to send us any bibliography that would help us in the treatment and care of this patient? Carlos A.Wolff M.D. Ginecologia y obstetricia Clinica del sol Chacabuco 705 Bordoba Argentina C.P. 5000 phone 54 51 682533/1550/1544 fax 54 51 682533 e-mail carwolff@infovia.com.ar
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