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Combined pulmonary infection

Chest radiograph shows extensive bilateral pulmonary infiltrates in a patient on high-dose glucocorticoids for granulomatosis with polyangiitis (Wegener’s) who developed acute fever and dyspnea. Lung biopsy demonstrated dual infection with cytomegalovirus and Legionella pneumophila.

Courtesy of Jay Fishman, MD.

Graphic 60143 Version 5.0

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