초극소 저체중 출생아에서 cytomegalovirus 패혈증 이후에 나타난 중추성 요붕증 = Central Diabetes Insipidus Associated with Symptomatic Cytomegalovirus Infection in an Extremely Low Birth Weight Infant

다국어 초록 (Multilingual 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.

참고문헌 (Reference)

1 오연균, "극소 저체중 출생아(<1,250 g)에서 고나트륨혈증 발생 및 뇌출혈과의 관계" 대한신생아학회 18 (18): 89-95, 2011

2 Yu VY, "Treatment of neonatal diabetes insipidus with desmopressin (DDAVP)" 16 : 284-286, 1980

3 Wolpert SM, "The bright pituitary gland--a normal MR appearance in infancy" 9 : 1-3, 1988

4 Sinha R, "Post intra ventricular hemorrhage neonatal cranial diabetes insipidus" 43 : 267-269, 2006

5 Stapleton G, "Persistent central diabetes insipidus presenting in a very low birth weight infant successfully managed with intranasal dDAVP" 20 : 132-134, 2000

6 Atasay B, "Management of central diabetes insipidus with oral desmopressin a premature neonate" 17 : 227-230, 2004

7 Pogacar PR, "Management of central diabetes insipidus in infancy with low renal solute load formula and chlorothiazide" 12 : 405-411, 2000

8 Massa G, "Hypothalamo-pituitary dysfunction in congenital toxoplasmosis" 148 : 742-744, 1989

9 Mena W, "Diabetes insipidus associated with symptomatic congenital cytomegalovirus infection" 122 : 911-913, 1993

10 MacGilvray SS, "Diabetes insipidus as a complication of neonatal group B streptococcal meningitis" 9 : 742-743, 1990

11 Fjellestad-Paulsen A, "Central diabetes insipidus: oral treatment with dDAVP" 45 : 303-307, 1993

12 Chan LTW, "Central diabetes insipidus in premature neonates with brain injury" 6 : 100-104, 2001