id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-305085-bv7udg9k	Lawrence, Robert M.	Chapter 13 Transmission of Infectious Diseases Through Breast Milk and Breastfeeding	2011-12-31		.txt	text/plain	45849	2358	45	Postnatal exposure of susceptible infants to CMV, including premature infants without passively acquired maternal antibodies against CMV, infants born to CMV-seronegative mothers, and immunodeficient infants, can cause significant clinical illness (pneumonitis, hepatitis, thrombocytopenia).* In one study of premature infants followed up to 12 months, Vochem et al 430 found CMV transmission in 17 of 29 infants (59%) exposed to CMV virolactia and breastfed compared with no infants infected of 27 exposed to breast milk without CMV. 38, 104, 121 Laboratory reports demonstrate the presence of cell-free virus and cell-associated virus in breast milk as well as various immunologic factors that could block or limit infection.* A dose-response relationship has been observed, correlating the HIV viral load in human milk as well as a mother' s plasma viral load with an increased transmission risk for the breastfed infant. 76 No case of transmission of yellow fever virus from an infected mother to her infant via breastfeeding or breast milk has been reported.	./cache/cord-305085-bv7udg9k.txt	./txt/cord-305085-bv7udg9k.txt