title: [Diagnosis and treatment of cytomegalovirus pneumonia after liver transplantation].
abstract: OBJECTIVE
  To investigate the diagnosis and treatment of cytomegalovirus (CMV) pneumonia after liver transplantation.
  
  
  METHODS
  Five cases of CMV pneumonia after liver transplantation were analyzed retrospectively. CMV pneumonia was diagnosed according to its clinical manifestation, chest X-ray, and etiologic test. All 5 patients received comprehensive therapy based on anti-virus treatment and immunologic adjustment.
  
  
  RESULTS
  The clinical manifestation of CMV pneumonia after liver transplantation was nonspecific. Its main symptoms included fever, cough, dyspnea, tachycardia, fatigue, hypoxemia and neutropenia. The chest X-ray showed interstitial pneumonia. Sera CMV antigens or antibodies could be detected in the patients. Four patients were cured and 1 patient died.
  
  
  CONCLUSIONS
  The clinical manifestation of CMV pneumonia was nonspecific. CMV pneumonia could be diagnosed according to its manifestations, chest X-ray and etiologic test. The comprehensive therapy based on anti-virus treatment and immunologic adjustment was effective for the disease.
authors.affiliation: Organ Transplantation Institute, Sun Yat-Sen University, Liver Transplantation Center, Third Affiliated Hospital, Guangzhou 510630, China.
authors.forename: Gen-shu
authors.initials: GS
authors.lastname: Wang
authors.forename: Hua
authors.initials: H
authors.lastname: Li
authors.forename: Gui-hua
authors.initials: GH
authors.lastname: Chen
authors.forename: Min-qiang
authors.initials: MQ
authors.lastname: Lu
authors.forename: Yang
authors.initials: Y
authors.lastname: Yang
authors.forename: Chang-jie
authors.initials: CJ
authors.lastname: Cai
authors.forename: Chi
authors.initials: C
authors.lastname: Xu
authors.forename: Shu-hong
authors.initials: SH
authors.lastname: Yi
authors.forename: Hui-min
authors.initials: HM
authors.lastname: Yi
mesh_terms: D000328:Adult; D003131:Combined Modality Therapy; D003586:Cytomegalovirus Infections / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011024:Pneumonia, Viral / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D011183:Postoperative Complications / Q000628:therapy; D012189:Retrospective Studies; D016896:Treatment Outcome