A Case of Diffuse Alveolar Hemorrhage Associated with Cytomegalovirus Pneumonia.

Cho, Yong Duck; Choi, Hye Sook; Park, Myung Jae

doi:2008.64.4.309

Tuberc Respir Dis > Volume 64(4); 2008 > Article

Case Report

Tuberculosis and Respiratory Diseases 2008;64(4):309-313.
DOI: https://doi.org/10.4046/trd.2008.64.4.309 Published online April 1, 2008.

A Case of Diffuse Alveolar Hemorrhage Associated with Cytomegalovirus Pneumonia.

Yong Duck Cho, Hye Sook Choi, Myung Jae Park

¹Department of Pulmonary, Allergy and Critical Care Medicine, Kyung Hee University School of Medicine, Seoul, Korea. mjpwis@chol.com
²Department of Pulmonary and Critical Care Medicine, Dongguk University College of Medicine, Gyeongju, Korea.

Abstract

Cytomegalovirus (CMV) pneumonia is a serious opportunistic infection in an immunocompromised host such as an AIDS patient or transplant recipient undergoing immunosuppressive therapy. Diffuse alveolar hemorrhage (DAH) is a relatively uncommon condition and it occurs most often in patients with systemic autoimmune disease. However, various types of infectious pneumonia with Mycoplsma hominis, Stenotrophomonas maltophilia and Pneumocystis jirovecii have been reported to be associated with the development of DAH. The association of CMV infection with the development of DAH has rarely been reported. We experienced a case of DAH associated CMV pneumonia and the patient was successfully treated with the use of antiviral agents and steroids.

Key Words: Cytomegalovirus infections, Diffuse alveolar hemorrhage