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CASE REPORT
Human cytomegalovirus pneumonia in an immunocompetent patient: a very uncommon but treatable condition
  1. Qazi Ahmed Waqas1,
  2. Hafez Mohammad Ammar Abdullah1,
  3. Uzma Ikhtiar Khan2 and
  4. Tony Oliver1
  1. 1 Internal Medicine, Sanford School of Medicine, University of South Dakota, Sioux Falls, South Dakota, USA
  2. 2 Internal Medicine, Khyber Medical College, Peshawar, Pakistan
  1. Correspondence to Dr Hafez Mohammad Ammar Abdullah, ammar.abdullah{at}usd.edu

Abstract

Human cytomegalovirus (CMV) is a double-stranded DNA virus that can cause widespread severe infection in immunocompromised individuals but is more typically a subclinical infection in immunocompetent individuals. Rarely, it can cause a serious infection in immunocompetent individuals. Here, we describe a 36-year-old otherwise healthy male who presented with fever, cough and malaise who was diagnosed with CMV pneumonia. He made a rapid recovery after initiation of ganciclovir and has been doing well on follow-up visits. We performed a comprehensive review of CMV pneumonia in immunocompetent individuals and have summarised the prior 16 reported cases of CMV pneumonia in immunocompetent patients. This article highlights the importance of considering CMV as a cause of pneumonia even in immunocompetent individuals, especially when the more common causes have been excluded. Early diagnosis allows prompt treatment and potentially complete recovery.

  • pneumonia (respiratory medicine)
  • respiratory medicine
  • pneumonia (infectious disease)
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Footnotes

  • Contributors HMAA, QAW and UIK were involved in writing the background and discussion. TO was involved in writing the case presentation.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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