title: Relapse of idiopathic pulmonary haemorrhage and glomerulonephritis associated with cytomegalovirus (CMV) infection.
abstract: A 49 year old man who developed idiopathic pulmonary haemorrhage and glomerulonephritis responded initially to immunosuppressive treatment and plasmapheresis. However, he died later from massive pulmonary haemorrhage and necropsy showed cytomegalovirus infection of the lungs. We propose that relapse of pulmonary haemorrhage may be associated with cytomegalovirus infection and that preventive measures against acquiring the virus through blood products should be considered for elective transfusions in view of the relatively good long term prognosis of this syndrome.
authors.affiliation: Department of Medicine, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT.
authors.forename: C N
authors.initials: CN
authors.lastname: Chan
authors.forename: F M
authors.initials: FM
authors.lastname: Lai
authors.forename: K N
authors.initials: KN
authors.lastname: Lai
authors.forename: J A
authors.initials: JA
authors.lastname: Pang
mesh_terms: D003428:Cross Infection / Q000635:transmission; D003586:Cytomegalovirus Infections / Q000150:complications* / Q000635:transmission; D005921:Glomerulonephritis / Q000150:complications*; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008171:Lung Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012008:Recurrence; D065227:Transfusion Reaction