Summary
A patient with dyspnea, skin rash, hypoxemia and mononucleosis was shown to have acute cytomegalovirus infection. The chest X-ray was normal, but the lung scan showed perfusion defects. Although pulmonary embolism cannot be ruled out, it seems likely that the CMV infection was responsible for the abnormalities observed.
Zusammenfassung
Bei einem Patienten mit Dyspnoe, Exanthem, Hypoxämie und Mononukleose wurde eine akute Cytomegalovirus-Infektion nachgewiesen. Das Thorax-Röntgenbild war ohne Befund, doch im Lungen-Scan stellten sich Perfusionsdefekte dar. Obwohl Lungenembolien nicht ausgeschlossen werden können, scheint es wahrscheinlich, daß die beobachteten Veränderungen durch CMV-Infektion hervorgerufen wurden.
Similar content being viewed by others
Literature
Weller, T. H. The cytomegaloviruses, ubiquitous agents with protean clinical manifestations (two parts). N. Engl. J. Med. 285 (1971) 203–214, 267–274.
Krech, V., Jung, M., Jung, F. Cytomegalovirus infections of man. S. Karger, Basel 1971.
Williams, D. M., Krick, J. A., Remington, J. S. Pulmonary infection in the immunocompromised host — part 2. Am. Rev. Resp. Dis. 114 (1976) 596–599.
Nankervis, G. A., Kumar, M. L. Diseases produced by cytomegaloviruses. Med. Clin. North Am. 62 (1978) 1021–1035.
Heni, N., Glogner, P., Schmitz, H. Clinical and diagnostical aspects of acute cytomegalovirus infections in previously healthy adults (original in German). Klin. Wochenschr. 54 (1976) 1117–1124.
Klemola, E., von Essen, R., Wager, O., Haltia, K., Koivuniemi, A., Salmi, I. Cytomegalovirus mononucleosis in previously healthy individuals. Ann. Intern. Med. 71 (1969) 11–19.
Carlström, G., Aldén, J., Belfrage, S. Acquired cytomegalovirus infection. Br. Med. J. II (1968) 521–525.
Sterner, G., Agell, B. O., Wahren, B., Espmark, Å. Acquired cytomegalovirus infection in older children and adults. Scand. J. Infect. Dis. 2 (1970) 95–103.
Klemola, E., Stenström, R., von Essen, R. Pneumonia as a clinical manifestation of cytomegalovirus infection in previously healthy adults. Scand. J. Infect. Dis. 4 (1972) 7–10.
Klemola, E. Cytomegalovirus infection in previously healthy adults. Ann. Intern. Med. 79 (1973) 267–268.
Langenhuysen, M. M. A. C., The, T. H., Nieweg, H. O., Kapsenberg, J. G. Demonstration of IgM cytomegalovirus-antibodies as an aid to early diagnosis in adults. Clin. Exp. Immunol. 6 (1970) 387–393.
Craighead, J. E. Pulmonary cytomegalovirus infection in the adult. Am. J. Pathol. 63 (1971) 487–504.
Urokinase Pulmonary Embolism Study Group: Urokinase pulmonary embolism trial. Circulation 49 Suppl. 2 (1974) 1ff.
Guidotti, T. L., Fries, L. F., Bell, W. R., Gurley, H. T., Pachner, A. Accuracy of screening for pulmonary embolism in the emergency room. Respiration 37 (1979) 309–317.
Moser, K. M. Pulmonary embolism. Am. Rev. Respir. Dis. 115 (1977) 829–852.
Budinger, T. F., McNeil, B. J., Alderson, P. O. Perspectives in nuclear medicine: pulmonary studies. J. Nucl. Med. 23 (1982) 60–65.
Robin, E. D. Overdiagnosis and overtreatment of pulmonary embolism: the emperor may have no clothes. Ann. Intern. Med. 87 (1977) 775–781.
Lynn, D. J., Wyman, A. C., Varma, V. M. Influenza A infection simulating pulmonary embolism. JAMA 238 (1977) 1166–1168.
Brown, G. D., Eron, L. J. Fatal pulmonary embolism in an adolescent with chickenpox. South. Med. J. 72 (1979) 1489–1490.
Glick, N., Levin, S., Nelson, K. Recurrent pulmonary infarction in adult chickenpox pneumonia. JAMA 222 (1972) 173–177.
Case Records of the Massachusetts General Hospital Case 15, 1963. N. Engl. J. Med. 268 (1963) 488–494; Case 24, 1963. N. Engl. J. Med. 268 (1963) 780–789.
Bamji, A., Salisbury, R. Cytomegalovirus and vasculitis. Br. Med. J. I (1978) 623–624.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Boers, M., Haak, A. Cytomegalovirus infection with perfusion defects on the lung scan. Infection 12, 265–267 (1984). https://doi.org/10.1007/BF01645957
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01645957