Document Detail

Chronic respiratory failure after acquired cytomegalovirus infection in a very low birthweight infant.
MedLine Citation:
PMID:  9002308     Owner:  NLM     Status:  MEDLINE    
The case of a female infant who developed chronic respiratory failure after an acquired cytomegalovirus (CMV) infection is presented here. She was a very low birthweight (VLBW) infant and was free from oxygen supplement until 2 months after birth. Interstitial pneumonia occurred at 2 months of age, and her respiratory condition gradually deteriorated. A chest roentgenogram at 4 months revealed hyperinflation and reticular shadow, similar to that of severe chronic lung disease (CLD) in preterm infants. She was mechanically ventilated because of progressive respiratory deterioration, and oxygen dependency continued for 5 months after extubation. There are several previous reports of CMV pneumonia in term neonates or infants. However, there appears to be no published report on the pulmonary sequelae of CMV pneumonia in VLBW infants. The present case seems to indicate that acquired CMV pneumonia in VLBW infants causes chronic respiratory failure even when mechanical ventilation is not administered, and this respiratory failure is very similar to CLD in clinical symptoms and chest roentgenogram.
H Suzumura; K Sakurai; K Kano; T Ichimura
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta paediatrica Japonica; Overseas edition     Volume:  38     ISSN:  0374-5600     ISO Abbreviation:  Acta Paediatr Jpn     Publication Date:  1996 Dec 
Date Detail:
Created Date:  1997-04-03     Completed Date:  1997-04-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370357     Medline TA:  Acta Paediatr Jpn     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  677-80     Citation Subset:  IM    
First Department of Pediatrics, Dokkyo University School of Medicine, Tochigi, Japan.
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MeSH Terms
Chronic Disease
Cytomegalovirus Infections / complications*,  radiography
Infant, Newborn
Infant, Very Low Birth Weight*
Pneumonia, Viral / complications*,  radiography
Respiration, Artificial
Respiratory Insufficiency / etiology*,  radiography

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