Cytomegalovirus Encephalopathy in an Infant with Congenital Acquired Immuno-Deficiency Syndrome

Abstract A female infant born pre-term to a HIV seropositive mother presented at birth with seropositivity for HIV and CMV viruria. At five months of age she developed an AIDS-related complex. Six months later she died from rapidly progressive diffuse encephalopathy. Post mortem examination revealed...

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Veröffentlicht in:Neuropediatrics 1990-08, Vol.21 (3), p.124-129
Hauptverfasser: Belec, L., Tayot, J., Tron, P., Mikol, J., Scaravilli, F., Gray, F.
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container_end_page 129
container_issue 3
container_start_page 124
container_title Neuropediatrics
container_volume 21
creator Belec, L.
Tayot, J.
Tron, P.
Mikol, J.
Scaravilli, F.
Gray, F.
description Abstract A female infant born pre-term to a HIV seropositive mother presented at birth with seropositivity for HIV and CMV viruria. At five months of age she developed an AIDS-related complex. Six months later she died from rapidly progressive diffuse encephalopathy. Post mortem examination revealed generalized CMV infection. Neuropathological examination showed a nodular encephalitis with occasional cytomegalic cells containing characteristic CMV inclusion bodies. There was no evidence of HIV encephalitis; immunostaining for HIV antigen (gp 41) was negative. Opportunistic infections in infants with congenital AIDS are the exception. To our knowledge, only one case of CMV encephalitis in an infant with congenital AIDS has been reported previously. In that case, as in the present one, a reactivation of a congenital CMV infection is likely. ABBREVIATIONS Acquired immuno-deficiency syndrome: AIDSCytomegalovirus: CMV Human Immuno-Deficiency Virus: HIV Central Nervous System: CNS
doi_str_mv 10.1055/s-2008-1071477
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At five months of age she developed an AIDS-related complex. Six months later she died from rapidly progressive diffuse encephalopathy. Post mortem examination revealed generalized CMV infection. Neuropathological examination showed a nodular encephalitis with occasional cytomegalic cells containing characteristic CMV inclusion bodies. There was no evidence of HIV encephalitis; immunostaining for HIV antigen (gp 41) was negative. Opportunistic infections in infants with congenital AIDS are the exception. To our knowledge, only one case of CMV encephalitis in an infant with congenital AIDS has been reported previously. In that case, as in the present one, a reactivation of a congenital CMV infection is likely. 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subjects AIDS-Related Complex - pathology
AIDS/HIV
Brain - pathology
Cytomegalovirus Infections - congenital
Cytomegalovirus Infections - pathology
Encephalitis - congenital
Encephalitis - pathology
Female
HIV Seropositivity - congenital
Humans
Inclusion Bodies, Viral - ultrastructure
Infant
Infant, Newborn
Infant, Premature, Diseases - pathology
Microscopy, Electron
Opportunistic Infections - congenital
Opportunistic Infections - pathology
Original article
title Cytomegalovirus Encephalopathy in an Infant with Congenital Acquired Immuno-Deficiency Syndrome
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