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18721

Enteroviral infections in cases of miscarriage

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Last updated: 30 Jan 2023

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Abstract

To investigate enteroviral infections as possible causes of miscarriage in pregnant women, 100 women with miscarriage were studied, 75 of whom had miscarriage before the 13th week of gestation (group A) and 25 had miscarriage after the 13th week of gestation (group B). Placental tissue samples were taken from all women and were investigated for the presence of enteroviruses by cell culture in Vero cell line. The viral isolates of cell culture positive samples were subjected to neutralization test for typing, and to reverse transcription – polymerase chain reaction (RT–PCR) for detection of enteroviral RNA. It was found that 36 out of 100 placental tissue samples (36%) were cell culture positive as they showed enterovirus – like cytopathic effect (CPE) in Vero cell culture, including 29/75 samples (38.7%) from group A and 7/25 samples (28%) from group B, with statistically insignificant difference in results between both groups (P>0.05). All the 36 viral isolates of the cell culture positive samples were untypable by neutralization test with the available enteroviral antisera, while 26 of these isolates (72.2%) were positive for enteroviral RNA by RT–PCR, comprising 21/29 isolates (72.4%) from group A and 5/7 isolates (71.4%) from group B, with no statistically significant difference in results between both groups (P>0.05). The remaining 10 viral isolates were negative for enteroviral RNA by RT–PCR and were attributed to other CPE producing viruses which may induce miscarriage. As 26 out of 100 samples (26%) were positive in both cell culture and RT–PCR, thus the obtained incidence of enteroviral infections among cases of miscarriage was 26%. This incidence is considered to be a quite high one, needing further attention and studies. No relation was found between age or parity and enteroviral infections in the studied groups. Enteroviruses may be considered as important causative agents of miscarriage, and enteroviral infections should be investigated in all cases of miscarriage. Further studies including typing of enteroviral isolates from cases of miscarriage by sequencing are recommended.

DOI

10.21608/ejhm.2003.18721

Authors

First Name

Eman A.

Last Name

Mohamed

MiddleName

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Affiliation

Microbiology Department, Faculty of Medicine for Girls, Al–Azhar University

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Orcid

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First Name

Daad F.I.

Last Name

El Fouhil

MiddleName

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Affiliation

Microbiology Department, Faculty of Medicine for Girls, Al–Azhar University

Email

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City

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Orcid

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First Name

Soad E.

Last Name

Abdel Rehim

MiddleName

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Affiliation

Microbiology Department, Faculty of Medicine for Girls, Al–Azhar University

Email

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City

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Orcid

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First Name

Jaylan A.

Last Name

Ali

MiddleName

-

Affiliation

Microbiology Department, Faculty of Medicine for Girls, Al–Azhar University

Email

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City

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Orcid

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First Name

Salwa E.

Last Name

Abdel Hamid

MiddleName

-

Affiliation

Microbiology Department, Faculty of Medicine for Girls, Al–Azhar University

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Orcid

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Volume

11

Article Issue

1

Related Issue

3798

Issue Date

2003-04-01

Receive Date

2018-11-11

Publish Date

2003-04-01

Page Start

90

Page End

100

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_18721.html

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https://ejhm.journals.ekb.eg/service?article_code=18721

Order

8

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

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Article

Created At

22 Jan 2023