We present the case of a breast-fed preterm infant with postnatally acquired cytomegalovirus (CMV) and severe necrotizing enterocolitis (NEC) associated with CMV. The infant had persistent severe thrombocytopenia with clinical deterioration despite multiple platelet transfusions and maximal medical treatment. Surgical intervention was not feasible owing to the instability of the infant's condition. Upon identification of CMV in urine, intravenous ganciclovir was initiated with significant clinical improvement. We also present a literature review of cases of CMV-related NEC or other gastrointestinal complications in preterm and term infants.
Recommendations for Diagnosis and Prevention of Cytomegalovirus-Associated Necrotizing Enterocolitis in Breast-Fed Preterm Infants.
Jennifer T. Pham,Allison F Dahlgren,P. Rasamimari
Published 2022 in The Journal of Pediatric Pharmacology and Therapeutics
ABSTRACT
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- Publication year
2022
- Venue
The Journal of Pediatric Pharmacology and Therapeutics
- Publication date
2022-02-01
- Fields of study
Medicine
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- External record
- Source metadata
Semantic Scholar, PubMed
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