Is CMV caused by diabetes?

Question

My son is type 1 diabetic, since the age of 8. He's now 29. His kidneys recently stopped functioning (we're told the diabets has damaged them), and he started dialysis 4 hours a day, three days a week, when he developed a high fever and pneumonia, which put him in the hospital for several weeks. The doctor said it was CMV? Is this caused from diabetes? Is this something he'll have to live with the rest of his life? It was pretty bad, ending up in the ICU on a ventilator for a few weeks. Any hep is appreciated.

Answer 1

CMV is a herpetic virus (a form of the herpes virus) that most of us have, but it lies dormant. When many folks get it, they don't even get treatment for it, and usually feel little in the way of symptoms. But, in the case of your son, his immune system is depleted, so he had a more sever case of it. More sever cases of it are known in renal (kidney) patients, especially those on hemodialysis, or those with suppressed or compromised immune systems, such as transplant patients, or folks on chemotherapy for cancer, or people with HIV/AIDS. I'm glad that your son was diagnosed, and he's probably receiving antibiotics, such as gancyclovir, for the CMV (CytoMegaloVirus), and I hope he gets well soon. I went through this and had the pneumonia for several weeks, many years ago, spending six weeks in the ICU, so I know it can be rough. But, he can get through it, of that I'm certain.

Since he just started dialysis, he might consider getting listed for transplant, and might consider trying to get listed for a pancreas-kidney transplant. When he's discharged, he should discuss this with his doctor, and look for transplant centers in his state or area. You can find these at http://www.unos.org

Answer 2

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Answer 3

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Answer 4

Almost all people have been exposed to cytomegalovirus (CMV) at one point in their life.

In healthy people with good immune systems, CMV does not usually lead to an infection. The body keeps CMV under control, and then the virus hides in your body but does not cause infection.

Diabetes is one of those conditions that can cause your immune system to be affected. When your immune system is not strong, CMV can re-activate and cause infection.

Answer 5

A lot of people get CMV. His diabetes probably make his case worse (also being on dialysis). But CMV is a common virus and in most people it feels like a mild case of the flu.

Answer 6

A huge % of the time it's a genetic default with the embryo. Most doctors won't speculate on what causes it. Yes, the reasons you listed can be a reason, but several women who do those, do give birth to a living baby-so you can't say having a single cigarette or having a glass of wine will make you miscarry, because it won't-just up your chance by a fraction. 20% of all pregnancies end in miscarriage due to natural causes-other reasons include, trauma to the uterus (car accident, fall, so on.), the order of development doesn't occur, such as the placenta is flawed and doesn't start working, a subchorianic bleed in the uterus, ext. The list goes on and on, there is no one thing that can cause a miscarriage.

Answer 7

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Answer 8

Here are some sites talking about CMV.

http://www.kidshealth.org/PageManager.jsp?dn=nemours&article_set=22912&lic=60&cat_id=20028

http://www.bloodindex.org/cmv.php

Answer 9

Well i has known to have NO connection with dibetes...but here are a few other reason why CMV's occur...

Transmission of CMV occurs from person to person. 58.9% of individuals aged 6 and over are infected with CMV; this number rises to 90.8% of individuals aged 80 and over.[1] It is debatable whether any measures to prevent infection should be taken at all when dealing with someone with CMV, as infection is almost universal in all countries.

Infection requires close, intimate contact with a person excreting the virus in their saliva, urine, or other bodily fluids. CMV can be sexually transmitted and can also be transmitted via breast milk, transplanted organs, and rarely from blood transfusions.

Although the virus is not highly contagious, it has been shown to spread in households and among young children in day care centers. Transmission of the virus is often preventable because it is most often transmitted through infected bodily fluids that come in contact with hands and then are absorbed through the nose or mouth of a susceptible person. Therefore, care should be taken when handling children and items like diapers. Simple hand washing with soap and water is effective in removing the virus from the hands.

CMV infection without symptoms is common in infants and young children; as a result, it is common to not exclude from school or an institution a child known to be infected. Similarly, hospitalized patients are not typically separated or isolated.

Childcare

Most healthy people working with infants and children face no special risk from CMV infection. However, for women of child-bearing age who previously have not been infected with CMV, there is a potential risk to the developing unborn child (the risk is described above in the Pregnancy section). Contact with children who are in day care, where CMV infection is commonly transmitted among young children (particularly toddlers), may be a source of exposure to CMV. Since CMV is transmitted through contact with infected body fluids, including urine and saliva, child care providers (meaning day care workers, special education teachers, therapists, as well as mothers) should be educated about the risks of CMV infection and the precautions they can take. Day care workers appear to be at a greater risk than hospital and other health care providers, and this may be due in part to the increased emphasis on personal hygiene in the health care setting.

Recommendations for individuals providing care for infants and children:

* Female employees should be educated concerning CMV, its transmission, and hygienic practices, such as handwashing, which minimize the risk of infection.
* Susceptible nonpregnant women working with infants and children should not routinely be transferred to other work situations.
* Pregnant women working with infants and children should be informed of the risk of acquiring CMV infection and the possible effects on the unborn child.
* Routine laboratory testing for CMV antibody in female workers is not recommended, but can be performed to determine their immune status

Answer 10

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