Brahier Mark, Neuda Rhanika, Davis William, Poon Rita
Georgetown University School of Medicine, Washington, DC, USA
Department of Internal Medicine, Georgetown University Medical Center, Washington, DC, USA.
BMJ Case Rep. 2021 Mar 4;14(3):e236892. doi: 10.1136/bcr-2020-236892.
Medical tourism is the pursuit of more affordable surgeries; however, this comes at the risk of suboptimal standards and potential for life-threatening complications. In this case, we describe the diagnostic challenge of cytomegalovirus (CMV) pneumonia in a 40-year-old woman who experienced wound dehiscence and subsequent blood transfusion-transmitted CMV as complications of liposuction in the Dominican Republic. We explore the role of histopathology in the diagnosis of disseminated CMV, discuss the underlying aetiology of CMV pneumonia in this patient and weigh the risks and benefits of initiating antiviral therapy in an immunocompetent patient with CMV disease.
医疗旅游是为了寻求更经济实惠的手术；然而，这伴随着标准欠佳以及出现危及生命并发症的风险。在此病例中，我们描述了一名40岁女性巨细胞病毒（CMV）肺炎的诊断难题，该患者在多米尼加共和国接受抽脂手术后出现伤口裂开，随后因输血感染了CMV。我们探讨了组织病理学在播散性CMV诊断中的作用，讨论了该患者CMV肺炎的潜在病因，并权衡了对一名患有CMV疾病的免疫功能正常患者启动抗病毒治疗的风险和益处。
