Document Detail

A butterfly shaped alveolar hemorrhage caused by cytomegalovirus.
MedLine Citation:
PMID:  21073064     Owner:  NLM     Status:  MEDLINE    
Abstract. We report here a 35 year-old immunocompetent male, with a fulminantly lethal diffuse alveolar hemorrhage caused by CMV pneumonia. The patient was admitted with fever, rust colored sputum and exertional dyspnea. A chest x-ray revealed bilateral alveolar infiltration in a butterfly pattern. Bronchoalveolar lavage (BAL) was performed which revealed alveolar hemorrhage. Microscopic findings of the lavage fluid revealed large numbers of erythrocytes and hemosiderin-laden macrophages. The patient did not improve with empiric antibiotic treatment. High CMV IgG and IgM titers were found in the serum. The patient died from respiratory failure after detection of inclusion bodies on BAL before initiation of antiviral therapy.
Aydin Ciledag; Demet Karnak; Oya Kayacan
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Southeast Asian journal of tropical medicine and public health     Volume:  41     ISSN:  0125-1562     ISO Abbreviation:  Southeast Asian J. Trop. Med. Public Health     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-11-15     Completed Date:  2010-12-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0266303     Medline TA:  Southeast Asian J Trop Med Public Health     Country:  Thailand    
Other Details:
Languages:  eng     Pagination:  900-3     Citation Subset:  IM    
Department of Chest Diseases, Ankara University School of Medicine, Ankara, Turkey.
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MeSH Terms
Bronchoalveolar Lavage Fluid / virology
Cytomegalovirus Infections / complications,  radiography*
Cytopathogenic Effect, Viral
Eosine Yellowish-(YS)
Fatal Outcome
Hemorrhage / radiography*,  virology*
Methylene Blue
Pneumonia, Viral / radiography*
Pulmonary Alveoli / virology*
Reg. No./Substance:
0/May-Grunwald Giemsa; 17372-87-1/Eosine Yellowish-(YS); 61-73-4/Methylene Blue

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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