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Hearing management

Updated 07 December 2017

10% of kids with Cytomegalovirus may end up deaf

Cytomegalovirus present at birth may cause kids to go deaf, but most babies don't show any symptoms.

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More than 10 percent of babies born with an infection called Cytomegalovirus will suffer permanent hearing loss, a new study reports.

But only one in 10 children with the virus show symptoms, and screening is not routine, said study lead researcher Dr. Julie Goderis, of University Hospital Ghent in Belgium.

Most common cause

Cytomegalovirus (CMV) is the most common non-inherited cause of hearing loss in children, responsible in 10 percent to 20 percent of cases, the researchers noted.

"Until a vaccine becomes available, behavioural and educational interventions are the most effective strategy to prevent mothers from being infected with CMV," she said.

Read: Treating hearing loss

Previous research has shown that mothers usually get the virus from toddlers. Once infected, she can pass the infection to the foetus, the researchers said.

"Following-up a child's hearing until the age of 6 years is essential to detect delayed onset or progressive hearing loss from CMV," said Goderis. "We know that, especially in this group, delayed hearing loss can occur."

To identify how widespread the virus is in children, and to determine its toll on hearing, the researchers culled data from 37 previously published studies. Their report was published online in the journal Paediatrics.

Less than one percent

The virus strikes less than 1 percent of new-borns – about 0.58 percent – in developed countries, the investigators found. And about 12.6 percent of infected kids will suffer severe, permanent hearing loss, the research showed.

Among kids who show virus symptoms, one in three children suffer hearing loss, compared to one of 10 who don’t have symptoms, the study authors said.

For symptomatic children, hearing loss will affect both ears. Children without symptoms usually suffer hearing loss in one ear, Goderis said.

Hearing loss from CMV, which is severe to total, can develop over time and vary as it progresses, she explained.

To date, there is no cure for the virus. But there is limited treatment with antiviral drugs, said Dr. Darius Kohan, director of otology/neurotology at Lenox Hill Hospital and Manhattan Eye, Ear, and Throat Hospital in New York City.

Read: What is hearing loss?

Kohan thinks that screening babies for the virus should be routine.

"If we would screen newborns for CMV, it would save a lot of headaches down the road," he said.

Dr. Sandeep Dave, from the division of paediatric otolaryngology at Miami Children's Hospital in Florida, favours hearing tests.

"Every newborn should get a hearing test before leaving the hospital and every year after until at least 6 years of age," Dave said.

Kids with hearing loss from CMV will need hearing aids. If the hearing loss is complete, then a cochlear implant can be considered, he said.

First identified in 1964, cytomegalovirus can cause brain damage and vision problems in addition to hearing loss, according to the U.S. Centres for Disease Control and Prevention.

Read: Types of hearing loss

Cytomegalovirus is related to the viruses that cause chickenpox and mononucleosis. By age 40, between 50 percent and 80 percent of adults in the United States have had a cytomegalovirus infection, and the virus stays in the body for life, U.S. health officials say.

But a small percentage of women develop the virus in pregnancy, creating problems for some of their offspring.

Babies born with virus symptoms may have: yellow skin and eyes, purple skin splotches or a rash, low birth weight, an enlarged spleen, enlarged and poorly functioning liver, pneumonia and seizures, the CDC added.

Read More:

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Image: Girl with hearing aid from Shutterstock.

 

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Hearing Expert

Dr Kara Hoffman graduated from UCT in 2004, thereafter she completed her year of community service in Durban. In 2010 she completed her Masters Degree in Paediatric Aural Rehabilitation from UKZN. In 2016, she became a Doctor of Audiology through the University of Arizona (ATSU). Dr Hoffman and her partner Lauren Thompson opened a fully diagnostic audiology practice called Thompson & Hoffman Audiology Inc. In 2011 with world-class technology and equipment to be able to offer the broad public all hearing-related services including hearing testing for adults and babies, vestibular (balance) assessments and rehabilitation, industrial audiology, hearing devices, central auditory processing assessments for school-aged children, school screening, neonatal hearing screening programmes at Alberlito and Parklands Hospital, cochlear implants and other implantable devices, medicolegal assessments and advanced electroacoustic assessments of hearing. Thompson and Hoffman Audiology Inc. are based at Alberlito Hospital in Ballito, St Augustines Hospital in Durban and at 345 Essenwood Road, Musgrave. The practices are all wheelchair friendly. There are three audiologists that practice from Thompson & Hoffman – including Dr Kara Hoffman, Lauren Thompson & Minette Lister. The practice boasts professional, highly qualified, and extensive diagnostic services where all your hearing healthcare needs can be met. The additional licensing in vestibular assessment and rehabilitation, paediatric rehabilitation and cochlear implantation places this practice in one of the top specialist audiological positions in South Africa, with a wealth of experience in all clinical areas of audiology and is a very well respected and sought-after practice.

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