title: [A case of pneumonia by cytomegalovirus in a patient with acute myeloid leukemia].
abstract: 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.
authors.affiliation: Servicio de Microbiología Clínica, Hospital Universitario San Carlos, Madrid.
authors.forename: I
authors.initials: I
authors.lastname: Cour Bóveda
authors.forename: A
authors.initials: A
authors.lastname: Kanaan Kanaan
authors.forename: R
authors.initials: R
authors.lastname: Avarez Lafuente
authors.forename: V
authors.initials: V
authors.lastname: Yagüe García
authors.forename: J
authors.initials: J
authors.lastname: Díaz Mediavilla
authors.forename: J J
authors.initials: JJ
authors.lastname: Picazo De La Garza
mesh_terms: 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
vernacular_title: Neumonía por citomegalovirus (CMV) en una enferma con leucemia aguda mieloide.