CASE REPORT
Cytomegalovirus infection - the need for detailed differential diagnostics.
 
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1
Department of Infectious and Tropical Diseases, Andrzej Frycz Modrzewski Krakow University
 
2
Department of Infectious Diseases and Pediatrics S. Żeromski Specialist Hospital in Krakow
 
3
Department of Infectious Diseases and Pediatrics S. Zeromski Specialist Hospital, Krakow.
 
These authors had equal contribution to this work
 
 
Submission date: 2024-07-19
 
 
Final revision date: 2024-10-16
 
 
Acceptance date: 2024-12-04
 
 
Publication date: 2025-01-31
 
 
Corresponding author
Lidia Stopyra   

Department of Infectious and Tropical Diseases, Andrzej Frycz Modrzewski Krakow University
 
 
Medicine and Public Health 2024;2(1):1-8
 
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ABSTRACT
Background:
Cytomegalovirus infection represents the most common congenital and acquired infection. The symptomatology is very broad and usually non-specific, ranging from asymptomatic forms to status with organ damage or even to severe systemic infection. This makes CMV infection mimic other disorders and diseases.

Material and methods:
Here we report two cases of CMV infection diagnosed after the second month of life in children who were referred to the infectious disease ward for extended diagnosis. Despite the late identification of infection, the clinical manifestation (psychomotor retardation, hearing loss, lenticulostriate vasculopathy) suggested a diagnosis of congenital infection was highly probable.

Results:
The further diagnostic process led to the correct diagnoses of congenital heart defect and cystic fibrosis, and administration of adequate specialist treatment.

Conclusions:
CMV infections are common and it is worthy to remember that the diagnosis of CMV infection can be not the only one in multisymptomatic infants so the thorough differential diagnostics is necessary.
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