PMC7970677_01
(a) MSCT thorax in 40-year-old female after heart transplant reveled bilateral pneumonitis as bilateral ground-glass opacification (GGO) with some diffuse consolidation and (b) partial regression of bilateral pneumonitis after 4 weeks of combined antiviral therapy with ganciclovir and CMV immunoglobulin therapy. (c) CMV DNA level in 100 mL (2 mL/kg) every 48-72 h regimen in addition to renal dosed ganciclovir (started at 150 mg I.V. and gradually raised). Drop of CMV DNA level from up to 528,102 copies/mL to 533 copies/mL.. CMVIG: cytomegalovirus immunoglobulin.
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Chest X-ray was inconclusive and led to multi-slice computed tomography (MSCT) of the thorax which revealed bilateral pneumonitis with ground-glass opacification and diffuse consolidation (Figure 1(a)). The patient made a complete clinical recovery and was discharged with maintenance renal dosed valganciclovir therapy and immunosuppression (Figure 1(b)).