Surgical complications due to postnatal cytomegalovirus infection in a preterm infant with malrotation |
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| Authors: | Anaïs Torregrossa Olivier Reinberg Leonor Alamo Rosella Sarro Pascal Meylan Matthias Roth‐Kleiner |
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| Affiliation: | 1. Clinics of Neonatology, University Hospital and University of Lausanne, Switzerland;2. Pediatric Surgery, University Hospital and University of Lausanne, Switzerland;3. Department of Medical Radiology, Institutes of Pathology, Switzerland;4. Institutes of Pathology, University Hospital and University of Lausanne, Switzerland;5. Microbiology, University Hospital and University of Lausanne, Switzerland |
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| Abstract: | We report a case of an extremely preterm infant with intestinal malrotation who contracted postnatal systemic cytomegalovirus (CMV) infection with a complicated intestinal evolution requiring repeated surgical interventions and antiviral treatment. This report is to emphasize that prolonged gastrointestinal symptoms in extremely preterm infants fed with non‐pasteurized breast milk should lead to suspicion of CMV infection. The importance of preventive measures when feeding very preterm infants with breast milk needs to be considered. Furthermore, the indications for antiviral treatment, in particular in preterm infants, need to be clarified. |
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| Keywords: | cytomegalovirus ganciclovir intestinal malformation postnatal CMV infection prematurity |
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