[A case of pneumonia by cytomegalovirus in a patient with acute myeloid leukemia].
The objective of this clinical case is to suggest that Cytomegalovirus (CMV) should be taken into consideration when dealing with infections produced by opportunistic microorganisms in immunocompromised patients who have fever of unknown origin and especially when accompanied by symptoms and signs of interstitial pneumonia. In the case we report of CMV active infection in a patient with acute myeloid leukemia, the anti-CMV specific treatment (ganciclovir) was iniciated following a positive polymerase chain reaction (PCR) result for CMV. The patient initially experienced an improvement but later worsened and expired. At present there are sensitive and specific techniques such as PCR which make it possible to start specific treatment as soon as the diagnosis of CMV active infection is made.
Cour Bóveda
I
I
Servicio de Microbiología Clínica, Hospital Universitario San Carlos, Madrid.
Kanaan Kanaan
A
A
Avarez Lafuente
R
R
Yagüe García
V
V
Díaz Mediavilla
J
J
Picazo De La Garza
J J
JJ
D003586:Cytomegalovirus Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007951:Leukemia, Myeloid / Q000150:complications* / Q000276:immunology; D008875:Middle Aged; D009894:Opportunistic Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D011024:Pneumonia, Viral / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy
Neumonía por citomegalovirus (CMV) en una enferma con leucemia aguda mieloide.