[Diagnosis and treatment of cytomegalovirus pneumonia after liver transplantation].
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.
Wang
Gen-shu
GS
Organ Transplantation Institute, Sun Yat-Sen University, Liver Transplantation Center, Third Affiliated Hospital, Guangzhou 510630, China.
Li
Hua
H
Chen
Gui-hua
GH
Lu
Min-qiang
MQ
Yang
Yang
Y
Cai
Chang-jie
CJ
Xu
Chi
C
Yi
Shu-hong
SH
Yi
Hui-min
HM
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