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Related Concept Videos

Cytomegalovirus Disease01:27

Cytomegalovirus Disease

Cytomegalovirus (CMV) disease is caused by human cytomegalovirus, a double-stranded DNA virus of the Herpesviridae family. While primary CMV infection is often asymptomatic in immunocompetent individuals, the virus can cause severe disease in neonates and immunocompromised patients. CMV is the most common cause of congenital viral infection in the United States, and a major pathogen in solid organ and hematopoietic stem cell transplant recipients.CMV is transmitted via bodily fluids, sexual...

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Updated: May 28, 2026

Use of In vivo Imaging to Monitor the Progression of Experimental Mouse Cytomegalovirus Infection in Neonates
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Postnatal CMV Infection in Extremely Premature Newborns: A Single-Center Exploratory Study.

Rok Košiček1, Vanja Erčulj2,3, Lilijana Kornhauser Cerar4

  • 1Department of Anaesthesiology, Celje General Hospital, 3000 Celje, Slovenia.

Children (Basel, Switzerland)
|May 27, 2026
PubMed
Summary

Postnatal cytomegalovirus (CMV) infection in extremely premature newborns is linked to more severe illness, including hepatosplenomegaly and lower blood cell counts. Preventing CMV infection is crucial for these vulnerable infants.

Keywords:
breast milkextremely premature newbornsleukopeniapostnatal CMVthrombocytopenia

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Area of Science:

  • Neonatalogy
  • Infectious Diseases
  • Perinatology

Background:

  • Postnatal cytomegalovirus (CMV) infection impact in extremely premature infants (<29 weeks gestational age) is not well understood.
  • This study investigates outcomes of postnatal CMV in a specific cohort of very premature newborns.

Purpose of the Study:

  • To determine the impact and outcomes of postnatal CMV infection.
  • To analyze clinical characteristics and treatment results in extremely premature newborns.

Main Methods:

  • Inclusion of 63 extremely premature newborns (<29 weeks GA) from December 2022 to December 2024.
  • CMV infection screening via PCR; congenital infection excluded. Postnatal infection confirmed with clinical suspicion and PCR.
  • Maternal CMV serostatus determined; clinical data and outcomes collected.

Main Results:

  • 14 out of 63 newborns (22.2%) had confirmed postnatal CMV infection.
  • CMV infection associated with hepatosplenomegaly and decreased platelet/leukocyte counts.
  • No significant association found between postnatal CMV and other neonatal comorbidities.

Conclusions:

  • Postnatal CMV infection correlated with a more severe clinical course in extremely premature infants.
  • Multivariable analysis did not confirm a statistically significant association with prolonged hospital stay.
  • Findings underscore the importance of preventing postnatal CMV infection in this high-risk population.