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Cytomegalovirus infection with perfusion defects on the lung scan

Cytomegalovirus-Infektion mit Perfusionsdefekten im Lungen-Scan

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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.

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Literature

  1. Weller, T. H. The cytomegaloviruses, ubiquitous agents with protean clinical manifestations (two parts). N. Engl. J. Med. 285 (1971) 203–214, 267–274.

    Google Scholar 

  2. Krech, V., Jung, M., Jung, F. Cytomegalovirus infections of man. S. Karger, Basel 1971.

    Google Scholar 

  3. 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.

    Google Scholar 

  4. Nankervis, G. A., Kumar, M. L. Diseases produced by cytomegaloviruses. Med. Clin. North Am. 62 (1978) 1021–1035.

    Google Scholar 

  5. 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.

    Google Scholar 

  6. 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.

    Google Scholar 

  7. Carlström, G., Aldén, J., Belfrage, S. Acquired cytomegalovirus infection. Br. Med. J. II (1968) 521–525.

    Google Scholar 

  8. 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.

    Google Scholar 

  9. 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.

    Google Scholar 

  10. Klemola, E. Cytomegalovirus infection in previously healthy adults. Ann. Intern. Med. 79 (1973) 267–268.

    Google Scholar 

  11. 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.

    Google Scholar 

  12. Craighead, J. E. Pulmonary cytomegalovirus infection in the adult. Am. J. Pathol. 63 (1971) 487–504.

    Google Scholar 

  13. Urokinase Pulmonary Embolism Study Group: Urokinase pulmonary embolism trial. Circulation 49 Suppl. 2 (1974) 1ff.

    Google Scholar 

  14. 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.

    Google Scholar 

  15. Moser, K. M. Pulmonary embolism. Am. Rev. Respir. Dis. 115 (1977) 829–852.

    Google Scholar 

  16. Budinger, T. F., McNeil, B. J., Alderson, P. O. Perspectives in nuclear medicine: pulmonary studies. J. Nucl. Med. 23 (1982) 60–65.

    Google Scholar 

  17. Robin, E. D. Overdiagnosis and overtreatment of pulmonary embolism: the emperor may have no clothes. Ann. Intern. Med. 87 (1977) 775–781.

    Google Scholar 

  18. Lynn, D. J., Wyman, A. C., Varma, V. M. Influenza A infection simulating pulmonary embolism. JAMA 238 (1977) 1166–1168.

    Google Scholar 

  19. Brown, G. D., Eron, L. J. Fatal pulmonary embolism in an adolescent with chickenpox. South. Med. J. 72 (1979) 1489–1490.

    Google Scholar 

  20. Glick, N., Levin, S., Nelson, K. Recurrent pulmonary infarction in adult chickenpox pneumonia. JAMA 222 (1972) 173–177.

    Google Scholar 

  21. 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.

    Google Scholar 

  22. Bamji, A., Salisbury, R. Cytomegalovirus and vasculitis. Br. Med. J. I (1978) 623–624.

    Google Scholar 

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Boers, M., Haak, A. Cytomegalovirus infection with perfusion defects on the lung scan. Infection 12, 265–267 (1984). https://doi.org/10.1007/BF01645957

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  • DOI: https://doi.org/10.1007/BF01645957

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