[Symptomatic congenital cytomegalovirus infection: report of a clinical case with very severe onset].
This document is about a serious congenital CMV case in a 36 weeks' gestation female newborn with intrauterine growth retardation delivered by cesarean section whose mother was drug addicted. At birth the newborn showed petechiae and bloody blisters all over the body, serious hepatosplenomegaly and microcephaly. Laboratory tests showed thrombocytopeny (platelets count 24.000/mm3) requiring platelets and fresh frozen plasma transfusions during stay in the hospital; echoencephalography showed brain cyst in occipital area, dilated ventricles and calcification in the periventricular area; cardiac echography showed congenital cardiopathy with ventricular and atrial septal defect and patent ductus arteriosus. Urinary presence of CMV-DNA and then CMV-DNA in maternal blood and milk were found. The newborn was given 4 days of endovenous iperimmune immunoglobulin, but the treatment with ganciclovir was impossible for her serious hepatopathy. The newborn was discharged at 45 days and followed monthly with a day hospital program. Now she's 10 months old and she has serious neuromotory problems with left emiparesis and she's following a program of neuromuscular re-education at our hospital.
Pasquini
R
R
Dipartimento materno-infantile ASL 13 Ascoli Piceno.
Luciani
L
L
Lobardi Mistura
E
E
Carlucci
A
A
D003586:Cytomegalovirus Infections / Q000151:congenital* / Q000175:diagnosis; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D012720:Severity of Illness Index