An unusual case of cytomegalovirus (CMV) pneumonia in a post-cardiothoracic surgery patient is presented. The diagnosis was made by PCR of CMV, DNA and histopathological examination, which showed bilateral CMV pneumonia, confirmed by immunohis- tochemical staining. The possibility of CMV reactivation in intensive care unit (ICU) patients is discussed. Clinicians should be aware of CMV as a cause of pneumonia after complicated cardiac surgery if bacterial and cardiac causes are excluded.
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