Cytomegalovirus pneumonia as cause of persistently wheezing in an infant with cystic fibrosis

Abstract

Cystic fibrosis, presenting in childhood, is a hereditary disease that proceeds with the dysfunction of all exocrine glands. Two months infant who was born premature admitted with respiratory distress. The infant's oxygen saturation was 80% and white sphere was 23.000/mm3. Clor levels were found as 88 mEq/l and 103 mEq/l by sweat chloride test. Cystic fibrosis was diagnosed. The patient not responded to treatment and was positive CMV-DNA was detected. The patient responded well to ganciclovir treatment. When a case with cystic fibrosis does not respond to treatment, another underlying causes should be considered.

Keywords

• Cystic fibrosis, CMV pneumonia, ganciclovir

Kistik fibrozisli bebekte düzelmeyen hışıltı nedeni olarak Sitomegalovirüs pnömonisi

Öz

Kistik fibroz çocukluk yaslarında ortaya çıkan ve tüm ekzokrin bezlerin fonksiyon bozukluğu ile seyreden kalıtsal bir hastalıktır. Prematüre doğan iki aylık bebek solunum sıkıntısı ile başvurdu. Oksijen saturasyonu %80, beyaz küresi 23.000/mm3 idi. Ter testinde klor ölçümleri 88 mEq/l ve 103 mEq/l bulundu. Kistik fibrozis tanısı konuldu. Başlanan tedaviye yanıt vermeyen hastada CMV DNA pozitif saptanarak gansiklovir tedavisi başlandı. Tedaviye cevap vermeyen kistik fibrozisli olgularda altta yatan başka nedenlerin de olabileceği akılda tutulmalıdır.

Anahtar Kelimeler

• Kistik Fibrozis, CMV pnömonisi, gansiklovir

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