Pneumonitis due to cytomegalovirus in an immunocompromised patient

Cytomegalovirus (CMV) pneumonia is one of the most important infections in immunocompromised host. Immunosuppressive therapy plays a major role in reactivation of CMV.Patient: The patient was a 56-year old lady, known case of chronic lymphocytic leukemia (CLL), had been taking prednisolone and chlorambucil, who presented with dyspnea and productive cough. After bronchoalveolar lavage (BAL), transbronchial lung biopsy (TBLB) and CT-guided biopsy, CMV pneumonia was diagnosed. CMV should be suspected as a cause of pneumonia in immunocompromised patient and diagnosis may require invasive procedures.