Congenital Cytomegalovirus Infection Presenting with Hyperbilirubinemia and Splenomegaly in a Term Infant with Trisomy 21

Congenital cytomegalovirus infection (cCMV) is very common, yet the presentation can be varied, making the diagnosis challenging. However, early diagnosis for treatment with medication in symptomatic cases within the first month of life is critical. Hyperbilirubinemia and splenomegaly are less commo...

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Main Authors: Kate Wilson, Lindsay Ellsworth, Megan H. Pesch
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2020/2534629
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author Kate Wilson
Lindsay Ellsworth
Megan H. Pesch
author_facet Kate Wilson
Lindsay Ellsworth
Megan H. Pesch
author_sort Kate Wilson
collection DOAJ
description Congenital cytomegalovirus infection (cCMV) is very common, yet the presentation can be varied, making the diagnosis challenging. However, early diagnosis for treatment with medication in symptomatic cases within the first month of life is critical. Hyperbilirubinemia and splenomegaly are less common manifestations at birth and may be overlooked in the setting of other symptoms, especially in a critically ill neonate. We present a case of a term infant with trisomy 21 who presented with isolated hyperbilirubinemia and splenomegaly and was later diagnosed with congenital CMV.
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series Case Reports in Pediatrics
spelling doaj-art-6325edac36504e1cb457b5b97a58fbbe2025-02-03T06:43:40ZengWileyCase Reports in Pediatrics2090-68032090-68112020-01-01202010.1155/2020/25346292534629Congenital Cytomegalovirus Infection Presenting with Hyperbilirubinemia and Splenomegaly in a Term Infant with Trisomy 21Kate Wilson0Lindsay Ellsworth1Megan H. Pesch2Division of Neonatal Perinatal Medicine, Department of Pediatrics, University of Michigan Medical School, Ann Arbor, MI, USADivision of Neonatal Perinatal Medicine, Department of Pediatrics, University of Michigan Medical School, Ann Arbor, MI, USADivision of Developmental and Behavioral Pediatrics, University of Michigan Medical School, Ann Arbor, MI, USACongenital cytomegalovirus infection (cCMV) is very common, yet the presentation can be varied, making the diagnosis challenging. However, early diagnosis for treatment with medication in symptomatic cases within the first month of life is critical. Hyperbilirubinemia and splenomegaly are less common manifestations at birth and may be overlooked in the setting of other symptoms, especially in a critically ill neonate. We present a case of a term infant with trisomy 21 who presented with isolated hyperbilirubinemia and splenomegaly and was later diagnosed with congenital CMV.http://dx.doi.org/10.1155/2020/2534629
spellingShingle Kate Wilson
Lindsay Ellsworth
Megan H. Pesch
Congenital Cytomegalovirus Infection Presenting with Hyperbilirubinemia and Splenomegaly in a Term Infant with Trisomy 21
Case Reports in Pediatrics
title Congenital Cytomegalovirus Infection Presenting with Hyperbilirubinemia and Splenomegaly in a Term Infant with Trisomy 21
title_full Congenital Cytomegalovirus Infection Presenting with Hyperbilirubinemia and Splenomegaly in a Term Infant with Trisomy 21
title_fullStr Congenital Cytomegalovirus Infection Presenting with Hyperbilirubinemia and Splenomegaly in a Term Infant with Trisomy 21
title_full_unstemmed Congenital Cytomegalovirus Infection Presenting with Hyperbilirubinemia and Splenomegaly in a Term Infant with Trisomy 21
title_short Congenital Cytomegalovirus Infection Presenting with Hyperbilirubinemia and Splenomegaly in a Term Infant with Trisomy 21
title_sort congenital cytomegalovirus infection presenting with hyperbilirubinemia and splenomegaly in a term infant with trisomy 21
url http://dx.doi.org/10.1155/2020/2534629
work_keys_str_mv AT katewilson congenitalcytomegalovirusinfectionpresentingwithhyperbilirubinemiaandsplenomegalyinaterminfantwithtrisomy21
AT lindsayellsworth congenitalcytomegalovirusinfectionpresentingwithhyperbilirubinemiaandsplenomegalyinaterminfantwithtrisomy21
AT meganhpesch congenitalcytomegalovirusinfectionpresentingwithhyperbilirubinemiaandsplenomegalyinaterminfantwithtrisomy21