关键词: Haematology (incl blood transfusion) Infections Infectious diseases Pneumonia (respiratory medicine) Respiratory system

Mesh : Female Infant, Newborn Humans Cytomegalovirus Purpura, Thrombocytopenic, Idiopathic / complications diagnosis drug therapy Ganciclovir / therapeutic use Delayed Diagnosis Queensland Cytomegalovirus Infections / complications diagnosis drug therapy Pneumonia / complications diagnosis drug therapy Antiviral Agents / therapeutic use

来  源:   DOI:10.1136/bcr-2023-259136   PDF(Pubmed)

Abstract:
We present the first published case of simultaneous pneumonitis and immune thrombocytopenic purpura secondary to primary cytomegalovirus (CMV) infection in an immunocompetent patient. Treatment with oral valganciclovir for 2 weeks successfully led to complete clinical recovery. CMV is traditionally associated with infection in immunocompromised patients and neonates; however, evidence of severe CMV infections in immunocompetent hosts is emerging. It is important to highlight the broad range of clinical presentations of CMV infections to prevent diagnostic delay and associated morbidity and expense.
摘要:
我们介绍了第一例有免疫能力的患者中原发性巨细胞病毒(CMV)感染继发的同时发生肺炎和免疫性血小板减少性紫癜的病例。口服伐更昔洛韦治疗2周成功导致临床完全康复。CMV传统上与免疫功能低下患者和新生儿的感染有关;然而,免疫活性宿主中出现严重CMV感染的证据.重要的是强调CMV感染的广泛临床表现,以防止诊断延迟和相关的发病率和费用。
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