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‘Lipo-tourism’ gone wrong: blood transfusion-transmitted cytomegalovirus disease
  1. Mark Brahier1,
  2. Rhanika Neuda2,
  3. William Davis3 and
  4. Rita Poon2
  1. 1Georgetown University School of Medicine, Washington, DC, USA
  2. 2Department of Internal Medicine, Georgetown University Medical Center, Washington, DC, USA
  3. 3Department of Infectious Disease, Georgetown University Medical Center, Washington, DC, USA
  1. Correspondence to Mark Brahier; mark.brahier1{at}


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.

  • drug therapy related to surgery
  • infections
  • drugs: infectious diseases
  • pneumonia (infectious disease)

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  • Contributors MB contributed to the conception, design and data acquisition of the case report. All authors (MB, RN, WD and RP) contributed to interpretation of data and drafting, revision and final approval of the article. All authors contributed to the inpatient care of the patient.

  • 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.

  • Patient consent for publication Obtained.

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

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