A 61-year-old woman who had undergone an operation for thymoma 17 years pre
viously suddenly became dyspneic and showed bilateral pulmonary infiltrates
on a chest radiograph. In the bronchoalveolar lavage fluid cells contained
characteristic cytomegalic inclusion bodies, as well as cytomegalovirus DN
A demonstrated by a polymerase chain reaction. Immunological findings inclu
ded hypogammaglobulinemia, deficient numbers of circulating B cells, and im
paired blast transformation of peripheral blood T cells in response to mito
gens in vitro. Considering all of the findings, the patient was diagnosed w
ith Good's syndrome presenting with cytomegalovirus pneumonia.