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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
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.
Background:
Cases of cytomegalovirus colitis are exceptionally reported in immuno-competent infant. The pathogenesis is uncertain but breast-feeding is considered as a main source of postnatal infection.
Case Presentation:
Here we report a full-term, formula-fed infant who developed a severe cytomegalovirus anaemia and colitis when aged 2 months.
Conclusion:
Even if the molecular identity between the cytomegalovirus-isolate of the infant and the maternal virus could not be demonstrated, we confirmed through laboratory investigation that cytomegalovirus infection was acquired postnatally. However, the source of cytomegalovirus infection remained unclear. Alternative modes of cytomegalovirus transmission are discussed.
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