Cytomegalovirus Infection in Infancy May Increase the Risk of Subsequent Epilepsy and Autism Spectrum Disorder in Childhood

Cytomegalovirus (CMV) is a ubiquitous virus, and CMV-associated diseases range from mild illness in immunologically normal hosts to life-threatening diseases in newborns and immunocompromised children. This study investigated the association between childhood CMV infection and subsequent epilepsy or...

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Autores principales: Chien-Heng Lin, I.-Ching Chou, Inn-Chi Lee, Syuan-Yu Hong
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Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/56e6e3a1fa314354bc68293cdc3e9471
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spelling oai:doaj.org-article:56e6e3a1fa314354bc68293cdc3e94712021-11-25T17:14:45ZCytomegalovirus Infection in Infancy May Increase the Risk of Subsequent Epilepsy and Autism Spectrum Disorder in Childhood10.3390/children81110402227-9067https://doaj.org/article/56e6e3a1fa314354bc68293cdc3e94712021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9067/8/11/1040https://doaj.org/toc/2227-9067Cytomegalovirus (CMV) is a ubiquitous virus, and CMV-associated diseases range from mild illness in immunologically normal hosts to life-threatening diseases in newborns and immunocompromised children. This study investigated the association between childhood CMV infection and subsequent epilepsy or neurodevelopmental disorders, attention deficit hyperactivity disorder (ADHD), and autism spectrum disorder (ASD). A retrospective analysis was performed on data for 69 children with confirmed CMV infections (CMV infection group) and 292 patients with other infections (control group) between 1 January 2006 to 31 December 2012. The results indicated that the CMV infection group had a higher risk of epilepsy in comparison to the control (odds ratio (OR), 16.4; 95% CI (confidence interval), 3.32–80.7; <i>p</i> = 0.001). Epilepsy risk increased in younger children (age 0–2) with CMV infection when compared to the control group (OR, 32.6; 95% CI, 3.84–276; <i>p</i> = 0.001). The ASD risk was also determined to be higher in the CMV infection group (OR, 17.9; 95% CI, 1.96–162; <i>p</i> = 0.01). The ADHD risk between the groups was not significant. This study suggests that CMV infection in infancy may increase the risk of subsequent epilepsy and ASD, especially in infants younger than 2 years, but is not associated with ADHD.Chien-Heng LinI.-Ching ChouInn-Chi LeeSyuan-Yu HongMDPI AGarticleCMV infectionsepilepsyinfancyattention deficit hyperactivity disorderautism spectrum disorderPediatricsRJ1-570ENChildren, Vol 8, Iss 1040, p 1040 (2021)
institution DOAJ
collection DOAJ
language EN
topic CMV infections
epilepsy
infancy
attention deficit hyperactivity disorder
autism spectrum disorder
Pediatrics
RJ1-570
spellingShingle CMV infections
epilepsy
infancy
attention deficit hyperactivity disorder
autism spectrum disorder
Pediatrics
RJ1-570
Chien-Heng Lin
I.-Ching Chou
Inn-Chi Lee
Syuan-Yu Hong
Cytomegalovirus Infection in Infancy May Increase the Risk of Subsequent Epilepsy and Autism Spectrum Disorder in Childhood
description Cytomegalovirus (CMV) is a ubiquitous virus, and CMV-associated diseases range from mild illness in immunologically normal hosts to life-threatening diseases in newborns and immunocompromised children. This study investigated the association between childhood CMV infection and subsequent epilepsy or neurodevelopmental disorders, attention deficit hyperactivity disorder (ADHD), and autism spectrum disorder (ASD). A retrospective analysis was performed on data for 69 children with confirmed CMV infections (CMV infection group) and 292 patients with other infections (control group) between 1 January 2006 to 31 December 2012. The results indicated that the CMV infection group had a higher risk of epilepsy in comparison to the control (odds ratio (OR), 16.4; 95% CI (confidence interval), 3.32–80.7; <i>p</i> = 0.001). Epilepsy risk increased in younger children (age 0–2) with CMV infection when compared to the control group (OR, 32.6; 95% CI, 3.84–276; <i>p</i> = 0.001). The ASD risk was also determined to be higher in the CMV infection group (OR, 17.9; 95% CI, 1.96–162; <i>p</i> = 0.01). The ADHD risk between the groups was not significant. This study suggests that CMV infection in infancy may increase the risk of subsequent epilepsy and ASD, especially in infants younger than 2 years, but is not associated with ADHD.
format article
author Chien-Heng Lin
I.-Ching Chou
Inn-Chi Lee
Syuan-Yu Hong
author_facet Chien-Heng Lin
I.-Ching Chou
Inn-Chi Lee
Syuan-Yu Hong
author_sort Chien-Heng Lin
title Cytomegalovirus Infection in Infancy May Increase the Risk of Subsequent Epilepsy and Autism Spectrum Disorder in Childhood
title_short Cytomegalovirus Infection in Infancy May Increase the Risk of Subsequent Epilepsy and Autism Spectrum Disorder in Childhood
title_full Cytomegalovirus Infection in Infancy May Increase the Risk of Subsequent Epilepsy and Autism Spectrum Disorder in Childhood
title_fullStr Cytomegalovirus Infection in Infancy May Increase the Risk of Subsequent Epilepsy and Autism Spectrum Disorder in Childhood
title_full_unstemmed Cytomegalovirus Infection in Infancy May Increase the Risk of Subsequent Epilepsy and Autism Spectrum Disorder in Childhood
title_sort cytomegalovirus infection in infancy may increase the risk of subsequent epilepsy and autism spectrum disorder in childhood
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/56e6e3a1fa314354bc68293cdc3e9471
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AT ichingchou cytomegalovirusinfectionininfancymayincreasetheriskofsubsequentepilepsyandautismspectrumdisorderinchildhood
AT innchilee cytomegalovirusinfectionininfancymayincreasetheriskofsubsequentepilepsyandautismspectrumdisorderinchildhood
AT syuanyuhong cytomegalovirusinfectionininfancymayincreasetheriskofsubsequentepilepsyandautismspectrumdisorderinchildhood
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