초극소 저체중 출생아에서 cytomegalovirus 패혈증 이후에 나타난 중추성 요붕증
Central Diabetes Insipidus Associated with Symptomatic Cytomegalovirus Infection in an Extremely Low Birth Weight Infant
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초록
저자는 초극소 저체중 출생아에서 거대세포 바이러스로 인한 패혈증과 동반된 중추성 요붕증을 vasopressin 투여 검사로 진단하였다. 뇌자기공명영상에서는 뇌하수체 후엽의 저신호강도와 편평화를확인하였다. 경구용 desmopressin 치료에 반응하여 소변량 감소와혈청 나트륨이 정상화되었다. gancyclovir 치료 후 거대세포 바이러스 감염으로 인한 증상이 호전된 후에도 중추성 요붕증은 지속되어52개월째 Minirin® 복용 중에 있다.
Abstract
I report a case of extremely low birth weight infant, who presented central diabetes insipidus associated with cytomegalovirus infection. His brain magnetic resonance imaging showed a flattened pituitary gland, and demonstrated a lack of posterior pituitary hyperintensity. It successfully managed with oral desmopressin (Minirin®) and persisted beyond the resolving of symptomatic cytomegalovirus infection.
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