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2013, Number 4

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Rev Cubana Med Gen Integr 2013; 29 (4)

Cytomegalovirus pneumonia in immunocompetent adult patient

Jane LA, Fernández FM, Acosta LM, Michel VT, Ortiz RJ, Lima AMI

Language: Spanish
References: 11
Page: 344-350
PDF size: 153.10 Kb.


ABSTRACT

Introduction: Cytomegalovirus pneumonia is a rare disease in immunocompetent patients, but when associated to other diseases such as pneumonia, it becomes deadly.
Objective: to present an uncommon case of primary Cytomegalovirus infection complicated with pneumonia.
Case presentation: this is the case of a 36years-old patient who directly worked with renal transplanted patients and went to the doctor´s because of 38o fever for more than 10 days, thrills, throat ache, dry cough at the beginning and clear green colored sputum, negative physical examination results, and marked asthenia during the day and anorexia. The inadequate response to Levofloxacine and Azitromycin treatment made us suspect of viral pneumonia caused by an infrequent germ. Antiviral antibodies tests were indicated to reveal positive results for Cytomegalovirus.
Conclusions: there are reversible acute pulmonary inflammatory processes of infective origin without any manifestation on physical exam, that is, a clinicalradiological dissociation; the majority of these processes are of viral origin but they do not occur only in immunodepressed patients.


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