Powikłania okulistyczne w przebiegu infekcji cytomegalowirusem w okresie niemowlęcym - opis przypadku
Ocular Complications in the Course of Cytomegalovirus Infection in Postnatal Period - Case Report
Monika Modrzejewska, Ewelina Lachowicz, Danuta Karczewicz
Katedra i Klinika Okulistyki Pomorskiej Akademii Medycznej w Szczecinie
Samodzielny Publiczny Szpital Kliniczny nr 2 w Szczecinie
Kierownik: prof. dr hab. n. med. Danuta Karczewicz
Summary: Cytomegalia is a virus disease evoked by the double-stranded cytomegalovirus, which belongs to Herpesviridae family, determined as HHV – 5. Cytomegalia belongs to one of the most frequent infections related with neonatal and postnatal period and occurs in almost 1% alive born children. It principally comes for infection during delivery or during breast-feeding. Premature or low – birth – weight infants are at risk. Delayed intrauterine growth of fetus can be repercussion of CMV infection during pregnancy. Multi-organ complications with jaundice, hepatosplenomegaly, thromocytopenia, anaemia, pneumonia, intracranial calcifications and deafness can occur due to cytomegalia in newborn. Infection can cause abortion, preterm delivery, neurological, urological, laryngological and ophthalmological complications depending on the infection time. Ocular diseases are principally manifested by chorioretinitis and optic atrophy. Therapy with antiviral medicines, including ganciclovir, is used to treat CMV infection in patients with immunodeficiency and visual system complications or in case of endangered patient’s live. Valganciclovir and foscarnet can be also used in treatment.
Literature concerning ocular complications of CMV infection in newborn and infants is limited. There are few publications that describe congenital cytomegalia and visual complications in children. The aim of this article is to present the cytomegalovirus chorioretinitis in infant. The diagnosis was based on interview, clinical examination and laboratory analysis. The proper recognition and treatment led to the ocular symptoms regression.
Słowa kluczowe: cytomegalowirus, powikłania siatkówkowo-naczyniówkowe, okres niemowlęcy.
Keywords: cytomegalovirus, chorio-retinal complications, postnatal period.