Cytomegalovirus (CMV) is a very common virus. Once you have it, the virus stays in your body permanently. Most people never even know they have CMV because it usually doesn't cause any problems for healthy individuals.
However, CMV can be a serious concern for certain groups of people. If you're pregnant, or if your immune system is compromised in any way, CMV infection becomes more significant. If a pregnant woman gets CMV during her pregnancy, there's a chance she could pass the virus to her baby. This can lead to health problems for the baby. Similarly, people with weakened immune systems – such as those who have received organ, stem cell, or bone marrow transplants – are particularly vulnerable to CMV. In these cases, a CMV infection can be very dangerous and even life-threatening.
CMV is spread through contact with body fluids like blood, saliva, urine, semen, and breast milk. There's no cure for CMV, but there are medicines that can help manage the symptoms and complications.
Many people infected with CMV don't have any noticeable symptoms. If symptoms do appear, they're usually mild. However, certain groups of people are more likely to experience problems from CMV infection.
These include:
Babies born with CMV (congenital CMV): This happens when a baby contracts the virus before birth. This can lead to a range of health issues.
Babies infected during or shortly after birth (perinatal CMV): This can happen during delivery or through contact with the virus in breast milk. Infants in this group might also develop health problems.
People with weakened immune systems: A weakened immune system makes it harder for the body to fight off infections. Conditions like organ transplants, bone marrow transplants, stem cell transplants, or HIV infection can significantly lower a person's immunity, increasing their risk of serious complications from CMV.
See a doctor if you have a weakened immune system and symptoms of cytomegalovirus (CMV) infection. A weakened immune system makes CMV infections more dangerous, potentially causing serious illness or even death. People who've had organ or stem cell transplants are especially vulnerable.
If you're pregnant and get sick with a condition similar to mononucleosis, see a doctor. Mononucleosis-like symptoms during pregnancy could indicate CMV.
If you have CMV and are otherwise healthy, and are experiencing only mild, general symptoms (like a headache or fatigue), you might be in a period of reactivation. Often, simply taking care of yourself, like getting plenty of rest and drinking fluids, is enough to help your body fight off the infection. In these cases, a doctor's visit might not be necessary.
Cytomegalovirus (CMV) is a virus similar to those that cause chickenpox, herpes, and mono. It's often inactive, or "dormant," and only becomes active sometimes. If you're healthy, CMV usually stays dormant.
When CMV is active in your body, you can spread it to others. It's passed through certain body fluids, like blood, urine, saliva, breast milk, tears, semen, and vaginal fluids. But casual contact, like a brief handshake or sharing a room, won't spread CMV.
Here are ways CMV can be passed:
Essentially, CMV is spread through close, direct contact with body fluids from someone who has an active infection. It's not spread easily through everyday interactions.
Cytomegalovirus (CMV) is a very common virus. Many people get it at some point in their lives. It can infect almost everyone.
Cytomegalovirus (CMV) infection can cause different problems, depending on your health and when you got infected.
Preventing Cytomegalovirus (CMV) infection mostly comes down to good hygiene. Here's how to protect yourself and others:
Wash your hands frequently: Washing your hands with soap and water for about 15-20 seconds is key, especially after touching young children, their diapers, or any of their body fluids like saliva. This is really important if the children are in daycare or preschool.
Be mindful of close contact: When kissing children, avoid kissing them on the mouth. A kiss on the forehead is a good alternative. This is particularly important if you're pregnant.
Keep things separate: Don't share food or drinks. Using separate cups, glasses, and utensils is a simple way to avoid spreading CMV.
Handle contaminated items carefully: If you come into contact with used diapers, tissues, or other items potentially contaminated with bodily fluids, wash your hands thoroughly before touching your face.
Clean surfaces regularly: Clean toys, countertops, and other surfaces that children might touch and which can be contaminated with urine or saliva.
Practice safe sex: Using condoms during sexual activity helps prevent the spread of CMV through bodily fluids like semen and vaginal fluids.
Talk to your doctor about antiviral medication: If you have a weakened immune system, your doctor may recommend antiviral medication to help prevent CMV disease.
New hope from vaccines: Scientists are working on vaccines, especially for women of childbearing age. These experimental vaccines may help prevent CMV infection in mothers, protect babies, and potentially reduce the risk of disabilities in babies born to mothers infected during pregnancy.
Tests can find cytomegalovirus (CMV). These tests look at blood, other body fluids, or tissue samples.
If you're pregnant, it's important to know if you've had CMV before. If you already have CMV antibodies, your baby is very unlikely to get infected.
If a doctor finds a new CMV infection during pregnancy, a special test called amniocentesis can check if the baby has been infected. This test takes a small sample of the fluid surrounding the baby. Doctors often recommend amniocentesis if an ultrasound shows possible problems that could be related to CMV.
If a doctor thinks your baby might have congenital CMV (CMV the baby got before birth), it's important to test the baby within the first three weeks after birth. If the baby has CMV, the doctor will likely do more tests to see how the baby's organs, like the liver and kidneys, are doing.
People with weakened immune systems, like those with HIV/AIDS or who have had organ transplants, should also talk to their doctor about CMV testing. Their doctor may want to check for CMV more often.
Cytomegalovirus (CMV) is a common virus that usually doesn't cause problems for healthy people. Most healthy children and adults who get CMV mononucleosis (a type of illness caused by CMV) get better on their own without needing medicine.
However, newborns and people with weakened immune systems, like those with conditions like HIV/AIDS or cancer, might need treatment if they get CMV. The best treatment depends on the specific symptoms and how severe they are.
The most common treatment is antiviral medicine. These medicines can help slow the virus's growth, but they don't completely get rid of it. Scientists are working hard to develop new medicines and vaccines to better treat and prevent CMV infections.
Getting Ready for Your CMV Appointment
This guide helps you prepare for a visit with your doctor about Cytomegalovirus (CMV). CMV is a common virus. It often causes mild illness, but it can be serious, especially for pregnant women and people with weakened immune systems.
Before Your Appointment:
Questions to Ask Your Doctor:
Questions Your Doctor Might Ask You:
If you think you may have been exposed to CMV during pregnancy:
By preparing with a list of questions and a record of symptoms, you can have a more productive and informative appointment with your doctor.
Disclaimer: August is a health information platform and its responses don't constitute medical advise. Always consult with a licenced medical professional near you before making any changes.