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Multiple cavitating masses in an immunocompromised host with rheumatoid arthritis-related interstitial lung disease: an unusual expression of cytomegalovirus pneumonitis

Departments of ¹Radiodiagnosis ²Respiratory Medicine and ³Pathology, Christian Medical College and Hospital, Vellore, Tamil Nadu, 632 004 India

Correspondence: Dr Anoop P Ayyappan, Department of Radiodiagnosis, Christian Medical College and Hospital, Ida Scudder Road, Vellore, Tamil Nadu, 632004, India. E-mail: dranoopayyappan{at}gmail.com.

Cytomegalovirus is a known opportunistic infection in immunocompromised individuals. We document multiple cavitating lung masses caused by cytomegalovirus in a patient with rheumatoid arthritis-induced interstitial lung disease on immunosuppressant medication, an unusual expression of CMV pneumonitis. With increasing use of immunosuppressive therapy and increase in AIDS, pulmonary cytomegalovirus infection is expected to be a more frequently encountered disease and familiarity with its uncommon radiological manifestations will be advantageous.