HIV-Associated Opportunistic Pneumonia Case Mimicking Covid-19 Pneumonia

Year 2022, Volume: 4 Issue: 3, 134 - 138, 29.07.2022

Sedat Çelikçi Emel Yilmaz

https://doi.org/10.46310/tjim.926630

Abstract

Cytomegalovirus (CMV) pneumonia is a rare opportunistic infection in the progression of human immunodeficiency virus (HIV) infection. Also, COVID-19 has been named a pandemic since the beginning of 2020. During this period, physicians were exposed to many COVID-19 cases, and it was challenged to consider different diagnoses in patients who applied to the emergency room with lung complaints and bilateral pneumonia. Here we reported a 30-year-old man diagnosed with HIV- associated opportunistic CMV pneumonia mimicking COVID-19. The diagnosis of CMV pneumonia was obtained through consistent clinical, radiological, microbiological and cytologic examinations. The patient made a complete clinical recovery after being initialized on anti-CMV treatment.

Keywords

COVID-19, CMV, HIV, OPPORTUNISTIC INFECTION

References

• COVID-19 Dashboard by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University (JHU). COVID-19 Map - Johns Hopkins Coronavirus Resource Center. Available at: https://coronavirus.jhu.edu/map.html. Accessed March 13, 2022.
• Bernheim A, Mei X, Huang M, Yang Y, Fayad ZA, Zhang N, Diao K, Lin B, Zhu X, Li K, Li S, Shan H, Jacobi A, Chung M. Chest CT findings in coronavirus disease-19 (COVID-19): Relationship to duration of infection. Radiology. 2020 Jun;295(3):200463. doi: 10.1148/radiol.2020200463.
• Li K, Wu J, Wu F, Guo D, Chen L, Fang Z, Li C. The clinical and chest CT features associated with severe and critical COVID-19 pneumonia. Invest Radiol. 2020 Jun;55(6):327-31. doi: 10.1097/RLI.0000000000000672.
• Salomon N, Perlman DC. Cytomegalovirus pneumonia. Semin Respir Infect. 1999 Dec;14(4):353-8.
• Huang L, Crothers K. HIV-associated opportunistic pneumonias. Respirology. 2009 May;14(4):474-85. doi: 10.1111/j.1440-1843.2009.01534.x.
• Chuganji E, Abe T, Kobayashi H, Nakano N, Kanai T, Ohara G, Takayashiki N, Noguchi M, Morishita Y, Aoki M, Tokuda Y. Fatal pulmonary co-infection with pneumocystis and cytomegalovirus in a patient with acquired immunodeficiency syndrome. Intern Med. 2014;53(14):1575-8. doi: 10.2169/internalmedicine.53.2171.