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Updated: Aug 8, 2026

Use of In vivo Imaging to Monitor the Progression of Experimental Mouse Cytomegalovirus Infection in Neonates
Published on: July 6, 2013
Cytomegalovirus: a cause of colonic stricture in a premature infant
Anjali Shetty1, Rosemary Barnes, Ed Lazda
1University Hospital of Wales, Microbiology, Heath Park, Cardiff, United Kingdom. anjalishettyuk@yahoo.co.uk
Insights
Cytomegalovirus infection in infants can cause severe bowel obstruction. This rare neonatal condition requires consideration by clinicians to prevent serious complications.
Area of Science:
- Neonatalogy
- Gastroenterology
- Virology
Background:
- Cytomegalovirus (CMV) infections are uncommon in neonates.
- Gastrointestinal involvement in neonatal CMV is rare.
Observation:
- A 27-week-old infant presented with symptoms of bowel obstruction upon initiation of full enteral feeds.
- Surgical exploration revealed colonic strictures in the ascending and proximal transverse colon.
- Histological examination of the resected colon showed Cytomegalovirus inclusion bodies.
Findings:
- The infant's bowel obstruction was attributed to a Cytomegalovirus infection.
- This case highlights a rare presentation of neonatal Cytomegalovirus affecting the gastrointestinal tract.
Implications:
- Neonatologists and microbiologists should consider Cytomegalovirus as a potential cause of neonatal bowel obstruction.
- Early diagnosis and management of neonatal GI CMV can prevent conditions mimicking necrotizing enterocolitis.
Abstract:
A 27-week-old infant developed symptoms of bowel obstruction when full enteral feeds were started. Laparotomy revealed strictures in the ascending and proximal transverse colon. Right hemicolectomy was performed. Histological examination of the resected large bowel demonstrated the presence of Cytomegalovirus inclusion bodies. Cytomegalovirus infections of the gut are extremely rare in neonates. This case report alerts neonatologists and microbiologists to consider Cytomegalovirus infection as a possible cause of bowel obstruction and necrotising enterocolitis like symptoms.
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