A 52 year old kidney transplant recipient presents with fever, dyspnea, and nonproductive cough 6 weeks after transplantation. CT scan shows diffuse bilateral interstitial infiltrates. Bronchoalveolar lavage cytology reveals enlarged cells with basophilic intranuclear inclusions surrounded by a clear halo. Which of the following organisms is the most likely cause of this patient’s illness?
- A)Respiratory syncytial virus
- B)Pneumocystis jirovecii
- C)CytomegalovirusGABARITO
- D)Herpes simplex virus 1
- E)Adenovirus
Explicação
Cytomegalovirus is correct. CMV causes serious disease in transplant recipients, including pneumonitis, colitis, and retinitis. The owl eye intranuclear inclusions are the classic histologic clue. Ver explicação completa e trilha adaptativa →