Severe acquired cytomegalovirus infection in a full-term, formula-fed infant: case report

Alberto Berardi1, Cecilia Rossi, Valentina Fiorini

  • 1Unità Operativa di Terapia Intensiva Neonatale, Azienda Ospedaliero-Universitaria Policlinico di Modena, Italy. berardi.alberto@policlinico.mo.it

BMC Pediatrics
|June 8, 2011
PubMed

Insights

Cytomegalovirus (CMV) colitis is rare in healthy infants. This case highlights postnatal CMV infection in a formula-fed infant, with the transmission source remaining unclear.

Area of Science:

  • Pediatric Gastroenterology
  • Infectious Diseases
  • Virology

Background:

  • Cytomegalovirus (CMV) colitis is infrequently diagnosed in immunocompetent infants.
  • Postnatal infection is often attributed to breastfeeding, though pathogenesis remains uncertain.

Observation:

  • A case of a 2-month-old, full-term, formula-fed infant presenting with severe anemia and colitis is described.
  • The infant exhibited symptoms consistent with a significant cytomegalovirus infection.

Findings:

  • Laboratory investigations confirmed postnatal cytomegalovirus infection in the infant.
  • Molecular analysis could not definitively link the infant's CMV isolate to the maternal virus.
  • The precise source of postnatal CMV transmission to the infant was not identified.

Implications:

  • This case underscores that cytomegalovirus colitis can occur in formula-fed infants, challenging the notion of breastfeeding as the sole postnatal source.
  • Alternative transmission routes for cytomegalovirus in infants warrant further investigation.
  • Highlights the importance of considering CMV in the differential diagnosis of severe colitis and anemia in infants, regardless of feeding method.
Abstract

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