title: Cytomegalovirus pneumonia in an immunocompetent adult: a case report.
abstract: A 38 year-old woman, who was previously fit and well, presented with a 10 day history of fever and non-specific symptoms. Initial chest X-ray demonstrated patchy nodular infiltrates bilaterally. She became increasingly hypoxaemic. Cultures to this point were all negative. A high-resolution CT thorax showed diffuse multilobular ground glass appearance with peripheral nodular shadowing, consistent with a viral pneumonia. CMV IgM antibody was positive and CMV PCR was positive on two subsequent occasions. She was commenced on oral valganciclovir. She made a full recovery and was discharged seven days later.
authors: Registrar Consultant in Respiratory Medicine, Leeds Teaching Hospitals NHS Trust, UK. amanda_barclay@hotmail.com
authors: A
authors: A
authors: Barclay
authors: R
authors: R
authors: Naseer
authors: H
authors: H
authors: McGann
authors: I
authors: I
authors: Clifton
mesh_terms: D000328:Adult; D000914:Antibodies, Viral / Q000032:analysis; D003587:Cytomegalovirus / Q000235:genetics / Q000276:immunology; D003586:Cytomegalovirus Infections / Q000175:diagnosis* / Q000276:immunology; D004279:DNA, Viral / Q000032:analysis; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007121:Immunocompetence; D007075:Immunoglobulin M / Q000276:immunology; D011024:Pneumonia, Viral / Q000175:diagnosis* / Q000276:immunology; D016133:Polymerase Chain Reaction; D013902:Radiography, Thoracic; D014057:Tomography, X-Ray Computed
chemical_list: D000914:Antibodies, Viral; D004279:DNA, Viral; D007075:Immunoglobulin M