Postnatally acquired cytomegalovirus infection in extremely premature infants: how best to manage?

Postnatal cytomegalovirus (pCMV) infection is a common viral infection typically occurring within the first months of life. pCMV refers to postnatal acquisition of CMV rather than postnatal manifestations of antenatal or perinatal acquired CMV. pCMV is usually asymptomatic in term infants, but can c...

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Main Authors: Kadambari, S, Whittaker, E, Lyall, H
Format: Journal article
Language:English
Published: BMJ Publishing Group 2020
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author Kadambari, S
Whittaker, E
Lyall, H
author_facet Kadambari, S
Whittaker, E
Lyall, H
author_sort Kadambari, S
collection OXFORD
description Postnatal cytomegalovirus (pCMV) infection is a common viral infection typically occurring within the first months of life. pCMV refers to postnatal acquisition of CMV rather than postnatal manifestations of antenatal or perinatal acquired CMV. pCMV is usually asymptomatic in term infants, but can cause symptomatic disease in preterm (gestational age <32 weeks) and very low birth weight (<1500 g) infants resulting in sepsis, pneumonia, thrombocytopaenia, neutropaenia, hepatitis, colitis and occasionally death. There are significant uncertainties regarding the management of premature infants with pCMV disease which is in part due to our limited understanding of the natural history of this disease. This review describes the current epidemiology and clinical manifestations of pCMV disease which should alert clinicians to test for CMV and also outlines a strategy to manage the condition.
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spelling oxford-uuid:ed70ff05-94fe-4eb5-bd06-fd01b1affa1f2022-03-27T11:25:03ZPostnatally acquired cytomegalovirus infection in extremely premature infants: how best to manage?Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:ed70ff05-94fe-4eb5-bd06-fd01b1affa1fEnglishSymplectic ElementsBMJ Publishing Group2020Kadambari, SWhittaker, ELyall, HPostnatal cytomegalovirus (pCMV) infection is a common viral infection typically occurring within the first months of life. pCMV refers to postnatal acquisition of CMV rather than postnatal manifestations of antenatal or perinatal acquired CMV. pCMV is usually asymptomatic in term infants, but can cause symptomatic disease in preterm (gestational age <32 weeks) and very low birth weight (<1500 g) infants resulting in sepsis, pneumonia, thrombocytopaenia, neutropaenia, hepatitis, colitis and occasionally death. There are significant uncertainties regarding the management of premature infants with pCMV disease which is in part due to our limited understanding of the natural history of this disease. This review describes the current epidemiology and clinical manifestations of pCMV disease which should alert clinicians to test for CMV and also outlines a strategy to manage the condition.
spellingShingle Kadambari, S
Whittaker, E
Lyall, H
Postnatally acquired cytomegalovirus infection in extremely premature infants: how best to manage?
title Postnatally acquired cytomegalovirus infection in extremely premature infants: how best to manage?
title_full Postnatally acquired cytomegalovirus infection in extremely premature infants: how best to manage?
title_fullStr Postnatally acquired cytomegalovirus infection in extremely premature infants: how best to manage?
title_full_unstemmed Postnatally acquired cytomegalovirus infection in extremely premature infants: how best to manage?
title_short Postnatally acquired cytomegalovirus infection in extremely premature infants: how best to manage?
title_sort postnatally acquired cytomegalovirus infection in extremely premature infants how best to manage
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AT lyallh postnatallyacquiredcytomegalovirusinfectioninextremelyprematureinfantshowbesttomanage