Background
Cytomegalovirus (CMV) enterocolitis is rare in term neonates.
Case characteristics
A term newborn with persistent pneumonia from birth developed enterocolitis on day 18 of life.
Outcome
Polymerase chain reaction (PCR) for CMV DNA was positive in urine sample. Antiviral therapy for six weeks resulted in successful treatment without any stricture formation.
Message
CMV enterocolitis should be considered as a differential diagnosis in atypical cases of necrotizing enterocolitis in neonates.