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Table 1 Severe gastrointestinal cytomegalovirus infection in immuno-competent infants born at term

From: Severe acquired cytomegalovirus infection in a full-term, formula-fed infant: Case Report

Reference

Age at onset

Breast feeding

Clinical findings

Diagnosis

Mode of transmission

Antiviral therapy

Jonkhoff-Slok (8)

5 weeks

Yes°

Bloody diarrhoea Rectal bleeding

Inclusion bodies at intestinal biopsy

Perinatal ? Cow's milk allergy ?

No

Fox (7)

5 weeks

Yes

Fever, Lymphoadenopathy Intractable diarrhoea Occult blood in stools

Inclusion bodies at duodenum biopsy

Congenital ? Perinatal ?

i.v. GCV for 5 weeks

Quiros-Tejeira (9)

2 months

Yes

Fever, watery diarrhoea

Severe colonic inflammatory changes, inclusion bodies

Perinatal ?

i.v. GCV for 2 weeks

Rongkavilit (10)

8 weeks

Yes

Profuse watery diarrhoea

Inclusion bodies in duodenum and sigmoid colon

Perinatal ? Postnatal (breast-feeding ?)

i.v. GCV for 4 weeks

Buonuomo (1)

8 weeks

Yes

Fever Anaemia Melena §

Positive PCR at duodenum biopsy

Perinatal ?

Oral VGCV for 5 weeks

  1. GCV = Ganciclovir; VGCV = Valganciclovir; PCR = polymerase chain reaction; i.v. = intravenous
  2. ° The infant was breast fed for 4 weeks, then he was formula fed
  3. § Melena occurred at the age of 7 months