Çiğdem ALİOSMANOĞLU, Zehra Şule HASKALOĞLU, Ömer CEVİT

Kistik fibrozisli bebekte düzelmeyen hışıltı nedeni olarak sitomegalovirüs pnömonisi

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. Klin Deney Ar Derg 2011;2(2):235-7

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

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. J Clin Exp Invest 2011;2(2):235-7

PDF

___

1. Anderson DH. Cystic fibrosis of the pancreas. J Chronic Dis 1958; 7(1):58-90.
2. Davis PB. Cystic Fibrosis, Pediatr Rev 2001; 22(2):257-9.
3. Cystic Fibrosis foundation. Cystic Fibrosis foundation Patient Registry: 2005 Annual data report to the center directors. Bethesda, MD: Cystic Fibrosis foundation; 2006.
4. Michael JL. Spontaneous Pneumothorax in children. Arch Pediatr 2000; 7(Suppl 1):39-43.
5. Berard G, Maillatte AM, Albertini M, Delalendre E, Boutte P, Mariani N. Cystic fibrosis revialed by dehydration with hypocloronatremic alcalosis in 3 infants and a neonate. Arch Pediatr J 1994;12(1): 42-5.
6. Hilman C. Bettina. Pediatric respiratory Disease; Diagnosis and Treatmant, Textbook. Philadelphia 1993:652-91.
7. Morisawa Y, Maeda A, Sato T, Hisakawa H, Fujieda M, Wakiguchi H. Cytomegalovirus infection and wheezing in infants. Pediatr Int 2008;50(4):654-7.
8. John LS. Pediatric cytomegalovirus infections. Clin Appl Immunol Rev 2002;3(1):47-59.