{"id":115,"date":"2025-08-01T21:29:50","date_gmt":"2025-08-01T21:29:50","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=115"},"modified":"2025-08-02T21:36:20","modified_gmt":"2025-08-02T21:36:20","slug":"cytomegalovirus-cmv","status":"publish","type":"page","link":"https:\/\/dermacab.net\/index.php\/prise-en-charge-des-infections-sexuellement-transmissibles-ist\/infections-sexuellement-transmissibles-ist-dorigine-virale\/cytomegalovirus-cmv\/","title":{"rendered":"\ud83e\udda0 Cytom\u00e9galovirus (CMV)"},"content":{"rendered":"\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><\/h2>\n\n\n\n<p><em>Virus ubiquitaire \u00e0 risque chez les immunod\u00e9prim\u00e9s et en p\u00e9riode p\u00e9rinatale<\/em><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udccc <strong>Qu\u2019est-ce que le cytom\u00e9galovirus ?<\/strong><\/h3>\n\n\n\n<p>Le <strong>cytom\u00e9galovirus (CMV)<\/strong> est un <strong>herp\u00e8svirus humain (HHV-5)<\/strong> tr\u00e8s r\u00e9pandu. L\u2019infection est g\u00e9n\u00e9ralement <strong>b\u00e9nigne chez les personnes immunocomp\u00e9tentes<\/strong>, mais peut \u00eatre <strong>grave chez les immunod\u00e9prim\u00e9s<\/strong> et les <strong>nouveau-n\u00e9s<\/strong> expos\u00e9s in utero.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>La majorit\u00e9 des adultes sont porteurs latents du CMV sans sympt\u00f4mes. Le virus reste <strong>latent \u00e0 vie<\/strong> et peut se <strong>r\u00e9activer<\/strong> dans certaines conditions (grossesse, immunod\u00e9pression).<\/p>\n<\/blockquote>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udd2c <strong>Modes de transmission<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Salive, urines, lait maternel, larmes<\/li>\n\n\n\n<li>Contact sexuel<\/li>\n\n\n\n<li>Transfusion sanguine, greffe d\u2019organe<\/li>\n\n\n\n<li><strong>Transmission materno-f\u0153tale<\/strong> (par voie transplacentaire)<\/li>\n\n\n\n<li>Transmission p\u00e9rinatale lors de l&rsquo;accouchement ou via l\u2019allaitement<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\u26a0\ufe0f <strong>Manifestations cliniques<\/strong><\/h3>\n\n\n\n<h4 class=\"wp-block-heading\">Chez l\u2019adulte immunocomp\u00e9tent :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Le plus souvent <strong>asymptomatique<\/strong><\/li>\n\n\n\n<li>Parfois : <strong>syndrome mononucl\u00e9osique<\/strong> (fi\u00e8vre, fatigue, ganglions, \u00e9l\u00e9vation des transaminases)<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Chez la femme enceinte :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Risque de <strong>transmission cong\u00e9nitale au f\u0153tus<\/strong><\/li>\n\n\n\n<li>Si infection primaire pendant la grossesse \u2192 30 \u00e0 40\u202f% de transmission<\/li>\n\n\n\n<li>Risque de s\u00e9quelles f\u0153tales : surdit\u00e9, retard psychomoteur, microc\u00e9phalie<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Chez les immunod\u00e9prim\u00e9s (VIH, greff\u00e9s) :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Infections opportunistes s\u00e9v\u00e8res :\n<ul class=\"wp-block-list\">\n<li>R\u00e9tinite \u00e0 CMV (c\u00e9cit\u00e9)<\/li>\n\n\n\n<li>Colite, \u0153sophagite<\/li>\n\n\n\n<li>Pneumonie<\/li>\n\n\n\n<li>Enc\u00e9phalite<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\uddea <strong>Diagnostic<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>S\u00e9rologie CMV (IgG, IgM)<\/strong> : utile en grossesse<\/li>\n\n\n\n<li><strong>PCR CMV quantitative<\/strong> : mesure de la charge virale<\/li>\n\n\n\n<li><strong>Culture virale ou antig\u00e9n\u00e9mie<\/strong> en contexte hospitalier<\/li>\n\n\n\n<li>\u00c9chographie f\u0153tale si suspicion cong\u00e9nitale<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udc8a <strong>Traitement<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Aucun traitement n\u00e9cessaire chez les sujets sains<\/li>\n\n\n\n<li>Chez les patients \u00e0 risque :\n<ul class=\"wp-block-list\">\n<li><strong>Ganciclovir<\/strong> ou <strong>valganciclovir<\/strong> (forme orale ou IV)<\/li>\n\n\n\n<li>Surveillance de la charge virale<\/li>\n\n\n\n<li>Pr\u00e9vention post-greffe (prophylaxie ou traitement pr\u00e9emptif)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udc76 <strong>Pr\u00e9vention de l\u2019infection cong\u00e9nitale<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Hygi\u00e8ne stricte chez la femme enceinte :\n<ul class=\"wp-block-list\">\n<li>Lavage des mains apr\u00e8s contact avec les enfants<\/li>\n\n\n\n<li>\u00c9viter les baisers sur la bouche, les ustensiles partag\u00e9s<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Pas de vaccin disponible \u00e0 ce jour<\/li>\n\n\n\n<li>Surveillance \u00e9chographique si s\u00e9roconversion pendant la grossesse<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\uddd1\ud83c\udffd\u200d\u2695\ufe0f <strong>Prise en charge au cabinet du Dr Hadi HAKIM<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Bilan virologique CMV en contexte de grossesse ou immunod\u00e9pression<\/li>\n\n\n\n<li>Conseil en pr\u00e9vention materno-f\u0153tale<\/li>\n\n\n\n<li>Coordination avec infectiologue ou obst\u00e9tricien en cas de s\u00e9roconversion<\/li>\n\n\n\n<li>Surveillance cutan\u00e9e des formes opportunistes (ulc\u00e9rations, vascularites\u2026)<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udcde <strong>Consultation \u2013 Pr\u00e9vention \u2013 Suivi du CMV<\/strong><\/h3>\n\n\n\n<p>\ud83d\udcde <strong>+221 33 821 31 22<\/strong><br>\ud83d\udcac <strong>WhatsApp m\u00e9dical confidentiel<\/strong><br>\ud83d\udccd <em>Cabinet de Dermatologie, IST &amp; Suivi p\u00e9rinatal \u2013 Dakar<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Virus ubiquitaire \u00e0 risque chez les immunod\u00e9prim\u00e9s et en p\u00e9riode p\u00e9rinatale \ud83d\udccc Qu\u2019est-ce que le cytom\u00e9galovirus ? Le cytom\u00e9galovirus (CMV) est un herp\u00e8svirus humain (HHV-5) tr\u00e8s r\u00e9pandu. L\u2019infection est g\u00e9n\u00e9ralement b\u00e9nigne chez les personnes immunocomp\u00e9tentes, mais peut \u00eatre grave chez les immunod\u00e9prim\u00e9s et les nouveau-n\u00e9s expos\u00e9s in utero. La majorit\u00e9 des adultes sont porteurs latents [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":216,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-115","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/115","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/comments?post=115"}],"version-history":[{"count":1,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/115\/revisions"}],"predecessor-version":[{"id":116,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/115\/revisions\/116"}],"up":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/216"}],"wp:attachment":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/media?parent=115"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}