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논문 기본 정보

자료유형
학술저널
저자정보
Salahuddin Mahmud (Bangladesh Shishu Hospital & Institute) Tanzila Farhana (Bangladesh Shishu Hospital & Institute) Ataul Mustufa Anik (Shahjalal University of Science and Technology) Fayaza Ahmed (DGHS) Mashud Parvez (Bangladesh Shishu Hospital & Institute) Madhabi Baidya (Bangladesh Shishu Hospital & Institute) Rafia Rashid (Dr. M R Khan Shishu Hospital & Institute of Child Health) Farhana Tasneem (Diabetic Association of Bangladesh) Ahmed Rashidul Hasan (Bangladesh Shishu Hospital & Institute) Mohammad Jahangir Alam (Bangladesh Shishu Hospital & Institute) Shafi Ahmed Muaz (Bangladesh Shishu Hospital & Institute)
저널정보
대한소아소화기영양학회 Pediatric Gastroenterology, Hepatology & Nutrition Pediatric Gastroenterology, Hepatology & Nutrition Vol.27 No.5
발행연도
2024.9
수록면
298 - 312 (15page)
DOI
https://doi.org/10.5223/pghn.2024.27.5.298

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Purpose: Cytomegalovirus (CMV) infection affects the hepatic, neurologic, hematopoietic, respiratory, gastrointestinal, and other organs, resulting in a high mortality rate and long-term sequelae. It may cause acute or chronic hepatitis, or even lead to hepatic cirrhosis. Valganciclovir (VGCV) is an effective, safe, and well-tolerated treatment for congenital CMV infection, without any serious adverse effects. This study was conducted to evaluate the clinical, biochemical, and virological profiles of infants with CMV with intrahepatic cholestasis and to determine the outcomes with or without treatment with VGCV. Methods: Twenty infants aged <6 months diagnosed with congenital CMV infection with evidence of intrahepatic cholestasis were included in this study. Randomization was used to divide the study participants into 2 groups. The control group (n=10) was treated with only supportive management, and the intervention group (n=10) was treated with oral VGCV at 16 mg/kg/dose 12 hours a day for 6 weeks plus supportive treatments. Physical examinations and biochemical, serological, and virological tests were performed at the time of diagnosis and at the end of 6 weeks and 6 months. Results: The control and intervention groups were compared in terms of clinical and laboratory parameters such as jaundice, dark urine, pale stool, hepatomegaly, total bilirubin, aminotransferases, gamma-glutamyl transferase, alkaline phosphatase, and CMV polymerase chain reaction load, which showed a significant reduction after treatment in the intervention group (p<0.05) with oral VGCV, with very few side effects, whereas the control group showed no significant changes. Conclusion: Oral VGCV can be used to effectively treat CMV infection with intrahepatic cholestasis without notable side effects.

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