A case of pneumonia in a critical patient.
The case of a patient who had recently undergone renal transplantation, and showed symptoms referable to pulmonary infection, is discussed. Chest X-ray showed the presence of bilateral diffuse reticulonodular interstitial involvement. For better characterization HRCT was performed. It detected ground glass interstitial involvement associated with nodules predominant in posterior segments of bilateral lower lobes. The case history associated with the findings of diagnostic imaging are strongly suggestive for pulmonary infection. The diagnosis was confirmed by bronchoalveolar lavage positive for the presence of alveolar cells and intranuclear and intracytoplasmic inclusions typical of Cytomegalovirus infection.
Nanni
Marinella
M
Istituto di Radiologia, Università Cattolica del S. Cuore, Policlinico "A. Gemelli", Roma, Italy.
Pantalone
Ornella
O
Bellitti
Arianna
A
Peschechera
Raffaella
R
Pirronti
Tommaso
T
D001992:Bronchoalveolar Lavage Fluid / Q000821:virology; D016638:Critical Illness; D003586:Cytomegalovirus Infections / Q000175:diagnosis*; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D016030:Kidney Transplantation; D008875:Middle Aged; D011024:Pneumonia, Viral / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed / Q000379:methods