Jejunal stricture in a premature infant: Is cytomegalovirus the causative pathogen or a superinfection?
Cytomegalovirus infection can cause gastrointestinal disease, especially in immunocompromised patients and premature infants. In the neonatal period, however, gastrointestinal involvement is infrequent. A case of cytomegalovirus enteritis and jejunal stricture in a preterm neonate is presented. The diagnosis was established after the histopathology of the surgical specimen demonstrated the presence of cytomegalovirus inclusion bodies. Every neonatal gastrointestinal cytomegalovirus infection case has been described in the literature as a necrotizing enterocolitis-like illness, but none of them clearly identifies whether cytomegalovirus was the pathogen responsible for causing necrotizing enterocolitis or whether cytomegalovirus occured as an infection during the course of necrotizing enterocolitis.
Department of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara, Turkey.
Aysel
A
Unlüsoy Aksu
Sinan
S
Sarı
Ramazan
R
Karabulut
Ozgür
O
Ekinci
Buket
B
Dalgıç
D003428:Cross Infection / Q000150:complications; D003586:Cytomegalovirus Infections / Q000150:complications*; D004751:Enteritis / Q000821:virology*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007234:Infant, Premature; D007415:Intestinal Obstruction / Q000150:complications* / Q000601:surgery; D007579:Jejunal Diseases / Q000150:complications* / Q000601:surgery; D018805:Sepsis / Q000150:complications