Infant death due to CMV enterocolitis.
An infant was admitted with symptoms of diarrhoea and vomiting. After initial improvement she unexpectedly died. Postmortem confirmed a diagnosis of cytomegalovirus (CMV) enterocolitis. The authors report this case and review other published cases of immunocompetent infants who presented with this infection. Clinicians should consider stool CMV PCR test or referral for endoscopy and biopsy in young babies who present with profuse and prolonged episodes of diarrhoea. The value of ganciclovir in immunocompetent infants who suffer with CMV gastrointestinal involvement is still not clear.
Trevor Mann Baby Unit, Royal county Sussex hospital, Brighton, UK. zaferrefai@hotmail.com
Zafer
Z
Refai
Stuart
S
Nicholls
Anil
A
Garg
D000900:Anti-Bacterial Agents; D003586:Cytomegalovirus Infections / Q000150:complications*; D004760:Enterocolitis / Q000628:therapy / Q000821:virology*; D017809:Fatal Outcome; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D007121:Immunocompetence; D007223:Infant
D000900:Anti-Bacterial Agents