Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML)
Vol 26, No 2 (2020)

Infection of Cytomegalovirus in Cholestasis Infant with Biliary Atresia

Lasmauli Situmorang (Division of Hepatology, Department of Child Health, Faculty of Medicine, Airlangga University/Dr. Soetomo Hospital, Surabaya-Indonesia)
Bagus Setyoboedi (Division of Hepatology, Department of Child Health, Faculty of Medicine, Airlangga University/Dr. Soetomo Hospital, Surabaya-Indonesia)
Sjamsul Arief (Division of Hepatology, Department of Child Health, Faculty of Medicine, Airlangga University/Dr. Soetomo Hospital, Surabaya-Indonesia)
Gondo Mastutik (Department of Anatomy Pathology, Faculty of Medicine, Airlangga University/Dr. Soetomo Hospital, Surabaya-Indonesia)



Article Info

Publish Date
31 Mar 2020

Abstract

Biliary Atresia (BA) is extrahepatic cholestasis that results in death within the first two years if the diagnosis andintervention are delayed. The etiology and pathogenesis of BA are still undetermined. Viral infections, includingCytomegalovirus (CMV), are presumed to be one of the causes. Cytomegalovirus infection is more common in intrahepaticthan extrahepatic cholestasis such as BA. There are limited data about Cytomegalovirus infection in cholestatic infants withBA. This study compared the incidence of CMV infection in cholestatic infants with biliary atresia and non-biliary atresia.A cross-sectional study was performed in December 2017 - August 2018 in cholestatic infants aged 1-6 months. Liverbiopsy, histopathological examination followed by PCR CMV examination were performed on cholestatic infants. Theresults of the PCR examination were compared between BA and non-BA infants. Statistical analysis of Chi-Square, t-testindependent and Mann-Whitney U resulting in p<0.05 were stated as significant. Thirty-seven children were obtainedduring the study period, consisting of sixteen children with BA and twenty-one children with non-BA. Biliary atresia waspredominantly found in female than male children, despite no differences were found between the groups (p=0.163). Therewere differences in body weight (p=0.002) age (p=0.009), birth weight (p=0.02) and gestational age (p=0.03) betweenchildren with BA and non-BA. There was no significant difference in the incidence of CMV infection in cholestatic infants withBA and non-BA (p=0.338). Cytomegalovirus infection in cholestatic infants with BA was less than non-BA cholestatic infants.

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Journal Info

Abbrev

patologi

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Neuroscience

Description

Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) is a journal published by “Association of Clinical Pathologist” professional association. This journal displays articles in the Clinical Pathology and Medical Laboratory scope. Clinical Pathology has a couple of ...