Resumen

CORTES, A. et al. Massive alveolar hemorrhage due to cytomegalovirus (CMV) and HIV infection. Med. Intensiva [online]. 2011, vol.35, n.2, pp.126-129. ISSN 0210-5691.

Alveolar hemorrhage may be a complication of diseases with local and systemic manifestations. Both share the same pathophysiological concept: damage to the alveolar microcirculation. It is a clinical entity that generates a diagnostic challenge for the physician. Early recognition favors aggressive treatment, which can improve the outcome. Despite the technological advances in its diagnosis and treatment, it is still a condition having high morbidity and mortality. We present the case of a 42-year old woman diagnosed of massive alveolar hemorrhage induced by cytomegalovirus (CMV) and HIV infection. Its presentation is atypical because most reported cases have occurred as a pneumonic process, episodes of massive hemorrhage being uncommon. The diagnosis was documented by bronchoscopy with bronchoalveolar lavage and etiological diagnosis with molecular techniques using reverse transcription polymerase chain reaction.

Palabras clave : Pulmonary hemorrhage; HIV; Cytomegalovirus (CMV); Bronchoalveolar lavage (BAL).

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