Fijołek J, Wiatr E, Szołkowska M, Oniszh K
Z III Kliniki Gruźlicy i Chorób Płuc, Warszawie.
Pneumonol Alergol Pol. 2000;68(9-10):454-62.
A case of disseminated lesions in the lungs was diagnosed just during autopsy as cytomegalic infection. 54-year old patient treated since 10 years because of lymphoplasmacytoid lymphoma of low malignancy was admitted to Institute of Tuberculosis with suspicion of miliary tuberculosis. The high temperature, pemphigus--like skin lesions and disseminated lesions in the chest X-ray appeared immediately after succeeding chemotherapy. Tuberculous bacilli. Aspergillus fumigatus and Pneumocystis carinii were not found in examined materials (BALF, blood, urine, skin and mucous lesions). Patient died after 3 days and typical lesions of cytomegalovirus infection were found only after autopsy in macroscopic picture of the lungs.
一例肺部弥漫性病变在尸检时才被诊断为巨细胞感染。一名54岁患者因低度恶性淋巴浆细胞样淋巴瘤已接受治疗10年,因疑似粟粒性肺结核入住结核病研究所。在后续化疗后立即出现高热、天疱疮样皮肤病变及胸部X线片上的弥漫性病变。在所检查的材料(支气管肺泡灌洗液、血液、尿液、皮肤及黏膜病变)中未发现结核杆菌、烟曲霉和卡氏肺孢子虫。患者在3天后死亡,仅在尸检时肺部大体检查中发现了典型的巨细胞病毒感染病变。