Primary Cytomegalovirus-Related Eosinophilic Pneumonia in a Three-year-old Child with Acute Lymphoblastic Leukaemia Case report and literature review
Journal Title: Sultan Qaboos University Medical Journal - Year 2014, Vol 14, Issue 4
Abstract
A diagnosis of eosinophilic pneumonia (EP) is rare in patients with acute lymphoblastic leukaemia (ALL). We report a case of EP in association with a primary cytomegalovirus (CMV) infection in a three-yearold Omani child with ALL. Te patient presented with fever while undergoing maintenance chemotherapy. He was admitted to the Child Health Department of Royal Hospital, in Muscat, Oman, in November 2011. He was initially thought to have sepsis but failed to respond to antibiotics. Chest computed tomography showed diffuse ground glass lung opacifcation. Bronchoalveolar lavage (BAL) cytology was consistent with the diagnosis of EP. Polymerase chain reaction tests for CMV were performed on the BAL and blood samples and were both markedly elevated. Te patient made a full recovery after treatment with prednisolone and ganciclovir. Te association between CMV infection and EP as well as the management of this combination in immunocompromised patients has never been reported in the English literature.
Authors and Affiliations
Mohammed Al Reesi| Department of Paediatrics, Sohar Hospital, Sohar, Amal Al-Maani| Department of Child Health, Royal Hospital, Muscat, Oman, George Paul| Department of Child Health, Royal Hospital, Muscat, Oman, Sumaiah Al-Arimi| Department of Child Health, Royal Hospital, Muscat, Oman
Keywords
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Primary Cytomegalovirus-Related Eosinophilic Pneumonia in a Three-year-old Child with Acute Lymphoblastic Leukaemia Case report and literature review
A diagnosis of eosinophilic pneumonia (EP) is rare in patients with acute lymphoblastic leukaemia (ALL). We report a case of EP in association with a primary cytomegalovirus (CMV) infection in a three-yearold Omani chil...