Document Detail


Protein-losing gastroenteropathy and retinitis associated with cytomegalovirus infection in an immunocompetent infant: a case report.
MedLine Citation:
PMID:  14658065     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 6-week-old immunocompetent girl developed protein-losing gastroenteropathy (PLGE) and retinitis associated with cytomegalovirus (CMV) infection. At presentation, CMV antigenaemia (6 cells/46,000 white blood cells) and its DNA were detected in the patient's blood and in the mother's milk. Intravenous ganciclovir and gamma-globulin rapidly ameliorated all symptoms and CMV antigenaemia disappeared. No immunological defects were identified in this patient. To the best of our knowledge, this case involves the youngest known immunocompetent patient demonstrating CMV-induced PLGE and retinitis. CONCLUSION: breast-feeding by a cytomegalovirus-positive mother can be a primary cause of early onset cytomegalovirus infection in infants.
Authors:
Manabu Iwanaga; Masafumi Zaitsu; Eiichi Ishii; Yoichi Nishimura; Shigeyasu Inada; Hiroka Yoshiki; Satoshi Okinami; Yuhei Hamasaki
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2003-12-05
Journal Detail:
Title:  European journal of pediatrics     Volume:  163     ISSN:  0340-6199     ISO Abbreviation:  Eur. J. Pediatr.     Publication Date:  2004 Feb 
Date Detail:
Created Date:  2004-01-29     Completed Date:  2004-05-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7603873     Medline TA:  Eur J Pediatr     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  81-4     Citation Subset:  IM    
Affiliation:
Department of Paediatrics, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, 849-8501 Saga, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Antiviral Agents / therapeutic use*
Breast Feeding / adverse effects*
Cytomegalovirus Infections / complications*,  drug therapy,  etiology
Ganciclovir / therapeutic use*
Humans
Infant
Milk, Human / virology
Protein-Losing Enteropathies / complications*
Retinitis / complications*
Chemical
Reg. No./Substance:
0/Antiviral Agents; 82410-32-0/Ganciclovir

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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