Genitourinary anomaly in congenital varicella syndrome: Case report and review

Hisayo Fujita, Akira Yoshii, Jun Maeda, Kenjiro Kosaki, Seiichiro Shishido, Hideo Nakai, Midori Awazu

研究成果: Article査読

9 被引用数 (Scopus)

抄録

We describe a 1-year-old boy with congenital varicella syndrome who had vesicoureteral reflux (VUR) and neurogenic bladder. His mother had varicella during the 3rd month of pregnancy. At birth the patient presented with right microphthalmia, right microcornea, and persistent hyperplastic primary vitreous of the right eye. He had chronic constipation from 3 months of age. He had urinary tract infection at 1 year of age. Urological investigation revealed left grade V VUR and neurogenic bladder. His varicella zoster virus IgG titer measured by ELISA was 39.4 antibody index (normal <0.1). He had repeated episodes of urinary tract infection despite antibiotic prophylaxis and clean intermittent catheterization, and underwent a uretero-vesiconeostomy at 2 years of age. Maternal infection during early pregnancy and the serological evidence of varicella zoster IgG antibodies without a history of varicella after birth led to the diagnosis of congenital varicella syndrome. Urogenital anomalies have previously been described in 14 cases of congenital varicella syndrome. Most of these patients had neurogenic bladder, the pathophysiology of which could be explained by the known neurotropic nature of the virus.

本文言語English
ページ(範囲)554-557
ページ数4
ジャーナルPediatric Nephrology
19
5
DOI
出版ステータスPublished - 2004 5月

ASJC Scopus subject areas

  • 小児科学、周産期医学および子どもの健康
  • 腎臓病学

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