ABSTRACT
PURPOSE: This study investigated the possible relationship between viral infection and first trimester pregnancy loss. MATERIALS AND METHODS: A prospective study was performed on 51 gravidas with missed abortion, fetal anomaly, pre-term delivery, and full-tem delivery at Hanyang University Hospital. Enteroviruses were detected by semi-nested reverse transcription-polymerase chain reaction (RT-PCR) and immunohistochemistry in abortive tissues and placentas. Enterovirus serotypes were confirmed by genome sequencing. Herpesviruses were detected by PCR. RESULTS: Coxsackievirus B3 (CVB3) was detected in 8 of 14 missed abortion cases, 1 of 27 full-term cases, and none of the 9 pre-term cases. Coxsackievirus B1 (CVB1) was detected in an encephalocele case. Herpes simplex virus type 1 was found in 4 full-term cases, 3 pre-term cases, and none of the missed abortion cases. CONCLUSION: The prevalence of CVB3 was significantly higher in missed abortion cases compared to full-term or pre-term delivery cases. CVB infection may therefore be an important etiological agent of missed abortion.
Subject(s)
Adult , Female , Humans , Pregnancy , Abortion, Missed/etiology , Coxsackievirus Infections/complications , Enterovirus B, Human/genetics , Immunohistochemistry , Placenta/virology , Pregnancy Complications, Infectious/virology , Pregnancy Trimester, First , Prevalence , Prospective Studies , Republic of Korea , Reverse Transcriptase Polymerase Chain Reaction , Sequence Analysis, DNA , Uterus/virologySubject(s)
Humans , Female , Uterine Diseases/complications , Pregnancy Complications , Methotrexate , Leucovorin , Abortion, Missed/etiology , Cervix UteriABSTRACT
La evaluación citogenética de 334 individuos (incluyendo 144 parejas) con abortos repetidos y/o pérdidas gestacionales diversas demostró una aberración cromosómica en 15 de los individuos (4.49%) y en 14 de las parejas (9.72%). La comparación de la frecuencia de anormalidades en individuos que no habían procreado hijos normales contra aquélla de los que sí lo habían hecho (5.62% vs. 1.18%) reveló una diferencia estadísticamente significativa (p<0.02). Estos datos apoyan la conveniencia de efectuar estudios citogenéticos parentales en la investigación etiológica de pérdidas gestacionales, particularmente cuando no ha habido descendencia normal. Tanto los resultados obtenidos como el tipo de anormalidades observadas (8 translocaciones recíprocas, 2 translocaciones Robertsonianas, 2 mosaicos para el cromosoma X, 1 inversión pericéntrica, 1 sitio frágil y 1 anillo no identificado en mosaico) fueron similares a los obtenidos por otros autores