在婴儿期,先天性细胞巨乳病毒肺炎呈现为肺溢液
Nikhil Rajvanshi1, Taruna Yadav2, Prawin Kumar3
1Pediatrics, AIIMS Jodhpur, Jodhpur, Rajasthan, India.
BMJ case reports
|January 22, 2025
概括
先天性细胞巨乳病毒 (CMV) 感染可能会导致新生儿严重呼吸困扰. 及时诊断和治疗对于预防听力损失和器官损伤等长期并发症至关重要.
科学领域:
- 新生儿科学 新生儿科学
- 儿童传染病 儿童传染病
- 遗传感染 遗传感染 遗传感染
背景情况:
- 细胞巨乳病毒 (CMV) 感染是一种常见的先天性感染.
- 先天性CMV可以导致显著的新生儿发病率.
- 早期识别对于管理潜在并发症至关重要.
研究的目的:
- 要突出一种先天性CMV呈现为新生儿肺炎的病例.
- 强调早期诊断和干预的重要性.
主要方法:
- 一个婴儿从出生以来就患有呼吸困难的案例介绍.
- 临床检查,胸部X射线和胸部对比度增强CT.
- 实验室评估包括CMV IgM抗体和尿路CMV PCR.
- 对于听力损失的听力学评估.
主要成果:
- 婴儿出现呼吸困难,双侧多叶流液,营养不良和小头症.
- 放射性发现包括分散的模糊和间歇性图案.
- 扫描显示了磨砂玻璃的不透明度,周围支气管的加厚,以及形.
- 诊断证实了阳性CMV IgM和尿液中的高病毒载量.
- 确定了双边中度听力损失.
结论:
- 先天性细胞巨乳病毒可以表现为严重的新生儿肺炎.
- 通过临床和实验室评估进行早期诊断至关重要.
- 及时治疗可以防止永久的末端器官损伤,包括听力损失.
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