Northfelt D W, Sollitto R A, Miller T R, Hollander H
Department of Medicine, University of California, San Francisco.
Chest. 1993 Jun;103(6):1918-20. doi: 10.1378/chest.103.6.1918.
A patient with AIDS and a history of non-Hodgkin's lymphoma developed a generalized illness associated with the appearance of multiple pulmonary nodules on a chest radiograph. Cytomegalovirus infection was demonstrated by needle aspiration cytology. The patient's symptoms and radiographic abnormalities resolved completely on ganciclovir therapy. This unusual case (1) broadens the differential diagnosis of nodular pulmonary disease in patients with AIDS and (2) suggests that cytomegalovirus can cause clinically significant lung disease which may respond to standard antiviral therapy in patients with AIDS.
一名患有艾滋病且有非霍奇金淋巴瘤病史的患者出现了一种全身性疾病，胸部X光片显示有多个肺结节。经针吸细胞学检查证实为巨细胞病毒感染。患者在接受更昔洛韦治疗后，症状和影像学异常完全消失。这个不寻常的病例（1）拓宽了艾滋病患者结节性肺病的鉴别诊断范围，（2）表明巨细胞病毒可引起临床上显著的肺部疾病，艾滋病患者的这种疾病可能对标准抗病毒治疗有反应。
