Resumen

FERNANDES-PINEDA, Mónica  y  ZEA-VERA, Andrés F.. A 45-year-old man with severe pneumonia, disseminated cytomegalovirus infection, and agammaglobulinemia. Biomed. [online]. 2024, vol.44, suppl.2, pp.48-50.  Epub 23-Dic-2024. ISSN 0120-4157.  https://doi.org/10.7705/biomedica.7524.

A 45-year-old male patient presented with a persistent cough lasting four months, accompanied by fever and significant weight loss.

A chest computed tomography revealed cryptogenic pneumonia, and subsequent investigations identified a positive cytomegalovirus (CMV) viral load in bronchoalveolar lavage. A transbronchial biopsy confirmed intranuclear basophilic inclusions indicative of CMV infection. Additionally, blood tests returned positive results for CMV. Immunoglobulin levels revealed IgA < 0.13, IgG < 3, IgM < 0.25 (g/L). Bone marrow biopsy indicated an 80% hypercellularity without morphological alterations. Additional studies for agammaglobulinemia were asked for.

Palabras clave : Agammaglobulinemia; cytomegalovirus; pneumonia; adult.

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