Question

The child was diagnosed with cytomegalovirus infection at 10 months old. At two months, the child had oxygen deficiency brain developmental delay. After recovery treatment, the follow-up revealed a further deterioration in developmental status. After one course of Ditropan treatment, the follow-up did not detect the virus, but one month later, the virus was detected again. I would like to know if cytomegalovirus can be completely cured, if there are better medications, and what possible complications may arise at 10 months old.

Answer

Cytomegalovirus (HCMV) has a high sensitivity to neural cells, salivary glands, and the mononuclear-phagocytic system during fetal and neonatal periods. The criteria for clinical diagnosis or definitive diagnosis of severe or disabling HCMV disease include conditions such as interstitial pneumonia, jaundice-type or cholestatic hepatitis, encephalitis, and retinitis pigmentosa, especially in immunosuppressed individuals like HIV-positive children. Prophylactic medication should be administered after transplantation. Early treatment for congenital infections with central nervous system damage (including sensorineural hearing loss) can prevent the deterioration of hearing and central nervous system damage.