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  • Title: Cytomegalovirus infection in a patient with rheumatoid arthritis.
    Author: Belin V, Tebib J, Vignon E.
    Journal: Joint Bone Spine; 2003 Aug; 70(4):303-6. PubMed ID: 12951317.
    Abstract:
    Background. - Pulmonary dysfunction in rheumatoid arthritis (RA) patients treated with low-dose methotrexate is usually caused by bacterial infection and less frequently by an immunoallergic reaction to the drug (acute hypersensitivity pneumonitis). Opportunistic infections are a rare cause. We report a case of cytomegalovirus pneumonia during bone marrow aplasia in a patient with RA taking methotrexate and cyclosporine.Conclusions. - Cytomegalovirus infection is a rarely reported cause of pulmonary dysfunction. This diagnosis should be considered in immunocompromised RA patients with no other satisfactory explanation for pulmonary dysfunction.
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