<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-1249</journal-id>
<journal-title><![CDATA[Archivos de Pediatría del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Arch. Pediatr. Urug.]]></abbrev-journal-title>
<issn>1688-1249</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Uruguaya de Pediatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-12492019000600328</article-id>
<article-id pub-id-type="doi">10.31134/ap.90.6.5</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Serie de casos de pacientes con infección connatal a citomegalovirus sintomática en el Servicio de Recién Nacidos del Centro Hospitalario Pereira Rossell]]></article-title>
<article-title xml:lang="en"><![CDATA[Case studies of patients with connatal symptomatic cytomegalovirus infection at the Pereira Rossell Children Hospital]]></article-title>
<article-title xml:lang="pt"><![CDATA[Relatos de casos de pacientes com infecção por citomegalovírus sintomático congênito no Centro Pediátrico Pereira Rossell]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dendi]]></surname>
<given-names><![CDATA[Álvaro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mattos]]></surname>
<given-names><![CDATA[María José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sobrero]]></surname>
<given-names><![CDATA[Helena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moraes]]></surname>
<given-names><![CDATA[Mario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,UDELAR Facultad de Medicina Depto. Neonatología]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,UDELAR Facultad de Medicina Depto. Neonatología]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,UDELAR Facultad de Medicina Depto. Neonatología]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,UDELAR Facultad de Medicina Depto. Neonatología]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>90</volume>
<numero>6</numero>
<fpage>328</fpage>
<lpage>334</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-12492019000600328&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-12492019000600328&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-12492019000600328&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  la citomegalovirosis es la infección connatal con mayor prevalencia y la causa más frecuente de sordera neurosensorial de origen no genético. Es una patología mayormente asintomática hasta en 90% de los casos. Existen en nuestro país escasos datos sobre la epidemiología de esta enfermedad.  Objetivo:  conocer el perfil epidemiológico de la citomegalovirosis connatal sintomática en el Centro Hospitalario Pereira Rossell.  Material y método:  estudio descriptivo, transversal, longitudinal. Fuente de datos: historias clínicas electrónicas del servicio. Criterios de inclusión: neonatos hospitalizados entre el 1/1/2010 y el 31/12/2018 con reacción en cadena de polimerasa (PCR) para citomegalovirus positiva en orina, saliva o sangre en las primeras tres semanas de vida y al menos una manifestación clínica o paraclínica.  Resultados:  19 pacientes cumplieron los criterios establecidos. Incidencia 0,2/1000 nacidos vivos. Fallecieron dos pacientes. El diagnóstico fue realizado por PCR en sangre o en orina. Las manifestaciones clínicas más frecuentes fueron pacientes pequeños para la edad gestacional, microcefalia y hepatoesplenomegalia. Alteraciones paraclínicas: alteraciones imagenológicas del sistema nervioso central, alteraciones hematológicas y alteraciones del hepatograma. El tratamiento fue iniciado en todos los casos con ganciclovir, pero heterogéneo en la duración y continuación.  Conclusiones:  los hallazgos en cuanto a prevalencia de citomegalovirosis connatal sintomática, manifestaciones clínicas y paraclínicas son coincidentes con la bibliografía internacional. Es fundamental la creación de un protocolo de manejo del paciente con citomegalovirosis connatal.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary:  Introduction:  cytomegalovirus is a greatly prevalent connatal infection and it is the most common cause of non-genetic sensorineural hearing loss. Mostly, in up to 90% of the cases, is asymptomatic. There is few data in Uruguay regarding its epidemiology.  Objective: to learn about the symptomatic connatal cytomegalovirus epidemiological profile at the Pereira Rossell Children Hospital.  Materials and methods:  descriptive transversal longitudinal study. Source of data: electronic medical records. Selection criteria: hospitalized newborns between Jan 1, 2010 and Dec 31,2018 showing a polymerase chain reaction (PCR) for positive cytomegalovirus in urine, saliva or blood during the first 3 weeks of life and at least one clinical or paraclinical reaction.  Results:  19 patients met the criteria. Incidence: 0,2/1000 of live newborns. Two patients died. A blood or urine PCR test was carried out. The most common clinical symptoms were: small-sized babies for their gestational age, microcephaly, hepatosplenomegaly. Paraclinical alterations: imagological SNC alterations, hematological alterations and hepatogram alterations. Ganciclovir treatment was started in every case, but treatment duration and continuity were heterogeneous.  Conclusions:  the findings regarding symptomatic connatal cytomegalovirus prevalence and their clinical and paraclinical symptoms met the international literature findings. It is essential to create a patient management protocol for patients with connatal cytomegalovirus.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  o citomegalovírus é uma infecção congênita muito prevalente e é a causa mais comum de perda auditiva neurossensorial não genética. É principalmente assintomático, em até 90% dos casos. Existem poucos dados no Uruguai sobre a sua epidemiologia.  Objetivo:  conhecer o perfil epidemiológico do citomegalovírus congênito sintomático no Hospital Pediátrico Pereira Rossell.  Materiais e métodos: estudo longitudinal transversal descritivo. Fonte dos dados: prontuários eletrônicos. Critérios de seleção: recém-nascidos hospitalizados entre 1º de janeiro de 2010 e 31 de dezembro de 2018 que mostraram uma reação em cadeia da polimerase (PCR) para citomegalovírus positivo na urina, saliva ou sangue durante as primeiras 3 semanas de vida e pelo menos uma reação clínica ou para clínica.  Resultados: 19 pacientes preencheram os critérios. Incidência: 0,2/1000 de recém-nascidos vivos. Dois pacientes morreram. Foi realizado um teste de PCR no sangue ou na urina. Os sintomas clínicos mais comuns foram: crianças de pequeno porte para a idade gestacional, microcefalia, hepatoesplenomegalia. Alterações para clínicas: alterações hematológicas, alterações no hepatograma e alterações imagiológicas do SNC. O tratamento com Ganciclovir foi iniciado em todos os casos, mas a duração e a continuidade do tratamento foram heterogêneas.  Conclusões:  os resultados referentes à prevalência de citomegalovírus congênito sintomático, assim como os sintomas clínicos e para clínicos concordaram com aquilos achados da literatura internacional. É essencial criar um protocolo de gerenciamento para pacientes com citomegalovírus congênito.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Citomegalovirus]]></kwd>
<kwd lng="es"><![CDATA[Ganciclovir]]></kwd>
<kwd lng="es"><![CDATA[Recién nacido]]></kwd>
<kwd lng="en"><![CDATA[Cytomegalovirus]]></kwd>
<kwd lng="en"><![CDATA[Ganciclovir]]></kwd>
<kwd lng="en"><![CDATA[Newborn]]></kwd>
<kwd lng="pt"><![CDATA[Citomegalovirus]]></kwd>
<kwd lng="pt"><![CDATA[Ganciclovir]]></kwd>
<kwd lng="pt"><![CDATA[Recém-nascido]]></kwd>
</kwd-group>
</article-meta>
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