PMC5957066_01
Chest X-ray at the onset of pneumonitis.. Note: Chest X-ray did not show major abnormal shadows.
idr-11-701Fig1.jpg
PMC5957066_01_idr-11-701Fig1.jpg
f1-idr-11-701
A and M levels were 234 mg/dL (102-411 mg/dL) and 176 mg/dL (30-207 mg/dL), respectively. Although the chest X-ray did not show major abnormal shadows (Figure 1), computed tomography (CT) images identified nodular abnormal shadows in both lungs without lymphoma relapse, revealing that the patient was complicated by pulmonary infection (Figure 2A, B).
Chest CT images.. Notes: (A) Upper lung field and (B) middle lung filed at the onset of pneumonitis. (C) Upper lung field and (D) middle lung filed on the 10th day of treatment. (E) Upper lung field and (F) middle lung field on the 21st day of treatment. Following start of ganciclovir treatment, bilateral pleural effusions, ground glass opacities, and consolidations have resolved.. Abbreviations: CT, computed tomography.
idr-11-701Fig2.jpg
PMC5957066_01_idr-11-701Fig2.jpg
f2-idr-11-701
A and M levels were 234 mg/dL (102-411 mg/dL) and 176 mg/dL (30-207 mg/dL), respectively. Although the chest X-ray did not show major abnormal shadows (Figure 1), computed tomography (CT) images identified nodular abnormal shadows in both lungs without lymphoma relapse, revealing that the patient was complicated by pulmonary infection (Figure 2A, B). However, the pneumonia got worse, as shown by chest CT images on the 10th day of treatment (Figure 2C, D). He was diagnosed as having HHV-6 pneumonitis, and intravenous ganciclovir (GCV; 5 mg/kg, q12h) therapy was initiated from day14, which quickly resolved the fever and cough within a couple of days and improved the CT findings by day 21 (Figure 2E, F).