CYTOMEGALOVIRUS PNEUMONITIS - AN UNUSUAL CAUSE OF PULMONARY NODULES IN A PATIENT WITH AIDS

A patient with AIDS and a history of non-Hodgkin's lymphoma developed a generalized illness associated with the appearance of multiple pulmo nary nodules on a chest radiograph. Cytomegalovirus infection was demo nstrated by needle aspiration cytology. The patient's symptoms and rad iographic abnormalities resolved completely on ganciclovir therapy. Th is unusual case (1) broadens the differential diagnosis of nodular pul monary disease in patients with AIDS and (2) suggests that cytomegalov irus can cause clinically significant lung disease which may respond t o standard antiviral therapy in patients with AIDS.