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J. Infect. Chemother. · Aug 2011
Case ReportsEfficacy of prolonged valganciclovir therapy for congenital cytomegalovirus infection.
- Yasuyo Kashiwagi, Hisashi Kawashima, Junya Nakajima, Yu Ishida, Shigeo Nishimata, Tasuku Miyajima, Kouji Takekuma, Akinori Hoshika, and Naoki Inoue.
- Department of Pediatrics, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, Japan. hoyohoyo@tokyo-med.ac.jp
- J. Infect. Chemother. 2011 Aug 1;17(4):538-40.
AbstractWe report prolonged valganciclovir (VGCV) treatment of a symptomatic cytomegalovirus infection case. Automated auditory brainstem evoked response performed at 5 days of age revealed severe hearing impairment. Cranial magnetic resonance (MR) imaging at 11 days of age showed abnormal findings. At 5 weeks of age, VGCV was started. The viral load in blood cells, plasma, and urine decreased during the 6-week treatment. Because of improvement of hearing level and no adverse effects, VGCV was restarted for an additional 6 weeks. Neither the patient's hearing impairment nor results of cranial MR imaging have become worse in 6 months. It is crucial to gather information from as many cases as possible treated with VGCV to establish a standard protocol for VGCV treatment.
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