Systemic cytomegalovirus infection mimicking an exacerbation of Wegener's granulomatosis.

Weiss, D J; Greenfield, J W; O'Rourke, K S; McCune, W J · J Rheumatol · 1993

case_report · Level V

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Abstract

A patient with Wegener's granulomatosis developed a systemic cytomegalovirus infection that mimicked an exacerbation of her vasculitis including pulmonary infiltrates, renal insufficiency, and cutaneous necrotizing ulcers. All of her symptoms resolved with ganciclovir. Physicians should maintain a high index of suspicion for similar presentations in other patients with vasculitis with or without immunosuppressive therapy.

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