A BUTTERFLY SHAPED ALVEOLAR HEMORRHAGE CAUSED BY CYTOMEGALOVIRUS

ÇİLEDAĞ A., KARNAK D., KAYACAN O.

SOUTHEAST ASIAN JOURNAL OF TROPICAL MEDICINE AND PUBLIC HEALTH, cilt.41, sa.4, ss.900-903, 2010 (SCI-Expanded) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 41 Sayı: 4
  • Basım Tarihi: 2010
  • Dergi Adı: SOUTHEAST ASIAN JOURNAL OF TROPICAL MEDICINE AND PUBLIC HEALTH
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.900-903
  • Anahtar Kelimeler: Cytomegalovirus, pneumonia, alveolar hemorrhage, PULMONARY HEMORRHAGE, IMMUNOCOMPROMISED PATIENTS, IMMUNOCOMPETENT HOST, INFECTION, AIDS
  • Ankara Üniversitesi Adresli: Evet

Özet

We report here a 35 year-old immunocompetent male, with a fulminantly lethal diffuse alveolar hemorrhage caused by CMV pneumonia. The patient was admitted with fever, rust colored sputum and exertional dyspnea. A chest x-ray revealed bilateral alveolar infiltration in a butterfly pattern. Bronchoalveolar lavage (BAL) was performed which revealed alveolar hemorrhage. Microscopic findings of the lavage fluid revealed large numbers of erythrocytes and hemosiderin-laden macrophages. The patient did not improve with empiric antibiotic treatment. High CMV IgG and IgM titers were found in the serum. The patient died from respiratory failure after detection of inclusion bodies on BAL before initiation of antiviral therapy.