• A Cortés, E Peña, R Vega, G Reyes, and E Bautista.
• Servicio de Neumología Clínica, Instituto Nacional de Enfermedades Respiratorias Dr. Ismael Cosío Villegas, Tlalpan, México D.F, México. dr morenheim@hotmail.com
• Med Intensiva. 2011 Mar 1;35(2):126-9.

AbstractAlveolar hemorrhage may be a complication of diseases with local and systemic manifestations. Both share the same pathophysiological concept: damage to the alveolar microcirculation. It is a clinical entity that generates a diagnostic challenge for the physician. Early recognition favors aggressive treatment, which can improve the outcome. Despite the technological advances in its diagnosis and treatment, it is still a condition having high morbidity and mortality. We present the case of a 42-year old woman diagnosed of massive alveolar hemorrhage induced by cytomegalovirus (CMV) and HIV infection. Its presentation is atypical because most reported cases have occurred as a pneumonic process, episodes of massive hemorrhage being uncommon. The diagnosis was documented by bronchoscopy with bronchoalveolar lavage and etiological diagnosis with molecular techniques using reverse transcription polymerase chain reaction.Copyright © 2009 Elsevier España, S.L. y SEMICYUC. All rights reserved.

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