Patient's question:
Have you ever seen a child who laughs heartily with you within a month? My son does that without a second thought. But I don’t know how long he’ll be able to laugh like that with me. At 63 days, he was diagnosed with cytomegalovirus hepatitis. Now that I’ve read Dr. Li Xuejun’s response, I’m wondering where I can buy the vaccine he mentioned, as well as which hospital can provide specific treatment for him. We’ve been to the Affiliated Second Hospital of West China University of Medical Sciences, but the treatment wasn’t very effective. They just told us to protect his liver, as if it didn’t matter when he’d be better. After two weeks of medication, his liver function index is still on the rise (total bilirubin 274, direct bilirubin 102).Doctor's answer:
If it is viral hepatitis, as long as the virus replication is controlled and liver function is normal, the chance of transmission will be very small. After recovery, it will be even less likely to transmit the virus. Infection with cytomegalovirus (CMV) is very common in the population, mostly occurring during childhood: either children are infected with CMV from their mother in the womb, or they develop the disease after being infected with the virus due to congenital immune function abnormalities. CMV infection is most commonly seen in congenital infection, acquired infection in children, primary infection in pregnant women, active infection in organ transplant recipients, and can also overlap with CMV infection in patients with viral hepatitis, affecting the disease outcome. Among infants infected with CMV, only 10% exhibit symptoms of jaundice hepatitis. The key to treating this disease is early detection and early treatment, using a combination of traditional Chinese and Western medicine methods. Medicinal herbs that clear heat, detoxify, soothe the liver, and promote bile flow, as well as Western medicine phosphonoformic acid, have a certain therapeutic effect. If the child has congenital biliary atresia, surgery is required, but it must be done early. If the child is over 3 months old, liver cirrhosis has often already developed, and the opportunity for surgery is lost. The child should be given a diet rich in protein and vitamins, such as milk, soy products, fresh vegetables, and fruits.