Question of the Week

Question :

Posted On : 08 Aug 2007

If an infant presents to us at age of 5 months with confirmed CMV infection should we still treat him,her with ganciclovir?

Expert Answer :

No expert answer available.

Answer Discussion :

dr. nilima

17 years ago

Dr. Shakila

YES

17 years ago

pediatriconcall

One must first determine what is the presentation of CMV in this child. If the child is asymptomatic and only has a positive CMV test, then one should not treat the child as one would never be sure that this is congenital or acquired.
Acquired CMV can be got as early as 2 weeks after life.
If the child is symptomatic and CMV is confirmed, then one may consider Ganciclovir or Valganciclovir. There is no consensus on the use of ganciclovir except in patients with CMV pneumonia and CMV retinitis. However a study from US has depicted decreased in incidence of deafness in babies with vertically transmitted CMV when treated with ganciclovir.

17 years ago

hayam

yes ,to reduce its risky effects

17 years ago

hayam

yes ,to reduce its risky effects

17 years ago

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