新生兒巨噬細胞病毒感染──病例報告

Neonatal Cytomegalovirus Infection: A case report

新生兒巨噬細胞病毒感染非屬罕見，但是感染後出現症狀，需要治療，在國內則少有報告。本例係一雙胞胎姊妹之一，主訴為持續性黃疸，至本院檢查，發現其總膽色素、直接型膽色素、甲型胎兒蛋白，皆有升高而住院治療。經使用Ganciclovir治療，有明顯改善。本例因少為臨床醫師注意，Ganciclovir在新生兒之使用亦屬罕見，故提出報告。

Congenital infections of newborn are confined to the TORCH only. Congenital cytomegalovirus infection in newborn is not so rare as it has been. It is hardly been described of the newborn had symptomatic signs as need to be treated. The patient happens to be a sister of twin, admitted with the chief complain of prolonged jaundice at the age of 2 months old. She was found to have elevated total bilirubin and directed bilirubin, and -fetoprotein. She received the ganciclovir and improved thereafter. As the congenital cytomegalovirus infection of newborn is usually been neglected, it is necessary to take a look at the disease, and the used of ganciclovir in newborn is also review.