We herein report a case of cytomegalovirus (CMV) bronchitis in a 62-year-old woman with polymyositis. She presented with respiratory symptoms and CMV antigenemia while undergoing immunosuppressive therapy with methotrexate (MTX) and prednisolone (PSL). Bronchoscopy was performed, which revealed an ulceration of the left main bronchus. A mucosal biopsy confirmed CMV infection, and the patient was diagnosed with CMV ulcerating bronchitis. The administration of ganciclovir improved the lesion, and the CMV antigenemia disappeared. Endobronchial ulceration should be considered in the differential diagnosis of CMV disease.

译文

:我们在此报告了一名62岁多发性肌炎妇女的巨细胞病毒(CMV)支气管炎病例。在接受甲氨蝶呤(MTX)和泼尼松龙(PSL)的免疫抑制治疗时,她表现出呼吸道症状和CMV抗原血症。进行了支气管镜检查,发现左主支气管溃疡。粘膜活检证实了CMV感染,并且该患者被诊断出患有CMV溃疡性支气管炎。更昔洛韦的使用改善了病变,并且CMV抗原血症消失了。在CMV疾病的鉴别诊断中应考虑支气管内溃疡。

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