Efficacy of prolonged valganciclovir therapy for congenital cytomegalovirus infection

被引:6
|
作者
Kashiwagi, Yasuyo [1 ]
Kawashima, Hisashi [1 ]
Nakajima, Junya [1 ]
Ishida, Yu [1 ]
Nishimata, Shigeo [1 ]
Miyajima, Tasuku [1 ]
Takekuma, Kouji [1 ]
Hoshika, Akinori [1 ]
Inoue, Naoki [2 ]
机构
[1] Tokyo Med Univ, Dept Pediat, Shinjuku Ku, Tokyo, Japan
[2] Natl Inst Infect Dis, Dept Virol 1, Shinjuku Ku, Tokyo, Japan
关键词
Cytomegalovirus (CMV); Valganciclovir (VGCV); Magnetic resonance (MR) imaging; Congenital infection; GANCICLOVIR THERAPY; HEARING;
D O I
10.1007/s10156-010-0204-z
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
We report prolonged valganciclovir (VGCV) treatment of a symptomatic cytomegalovirus infection case. Automated auditory brainstem evoked response performed at 5 days of age revealed severe hearing impairment. Cranial magnetic resonance (MR) imaging at 11 days of age showed abnormal findings. At 5 weeks of age, VGCV was started. The viral load in blood cells, plasma, and urine decreased during the 6-week treatment. Because of improvement of hearing level and no adverse effects, VGCV was restarted for an additional 6 weeks. Neither the patient's hearing impairment nor results of cranial MR imaging have become worse in 6 months. It is crucial to gather information from as many cases as possible treated with VGCV to establish a standard protocol for VGCV treatment.
引用
收藏
页码:538 / 540
页数:3
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