Uploaded by Odira Okomo

Cytomegalovirus Pneumonia

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Cytomegalovirus Pneumonia
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Cytomegalovirus Pneumonia
Cytomegalovirus (CMV) is a ubiquitous herpesvirus that seldom causes symptoms in
otherwise healthy people. CMV pneumonia is a potentially fatal complication that can arise in
immunocompromised persons such as organ transplant recipients. Infected saliva, urine, blood,
or sperm can transmit the human cytomegalovirus (CMV), which causes a severe type of
pneumonia in the lungs shown by fever, cough, shortness of breath, and low blood oxygen levels.
Case Study
The transplant recipient fell ill from the virus in the case study, but the organ donor did
not due to their divergent immune systems. The immune system can prevent sickness and control
CMV infection in healthy people (Esposito et al., 2021). Tacrolimus, a drug used to avoid organ
rejection by suppressing the immune system by blocking T-cell activation, was given to the
transplant patient. The recipient's immune system was compromised, making it harder for them
to fight off the CMV infection, ultimately manifesting as CMV pneumonia.
Cellular immunity, also known as cell-mediated immunity, is the major category of
immunity that was compromised in this transplant patient. To combat intracellular pathogens like
viruses and certain bacteria, the body activates a kind of immune cell called T cells through
cellular immunity (Shepherd & McLaren, 2020). Cellular immunity must be downregulated in
recipients to prevent the body from rejecting transplanted organs as foreign. As such, the patient
was on tacrolimus, which blocks T-cell activation.
Microscope and Nursing Practice
Microscopes are crucial in studying microbiology because they enable researchers to
observe microorganisms that would otherwise be invisible to the human eye. Microscopes are a
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valuable tool for nurses to aid in diagnosing and treating a wide range of illnesses and infections.
Microscopic analysis of bodily fluids, blood, sputum, and urine, can reveal the causative
organisms of disease. Successful treatment is more likely when the etiological agent is identified,
so the right antimicrobial therapy may be chosen. Additionally, a microscopic inspection can
assist healthcare providers in selecting the most effective antimicrobial medicines for a given
infection by revealing antimicrobial resistance patterns (Addis et al., 2021). Microscopes also
play an essential part in nursing education by allowing students better to comprehend various
bacteria's cellular structure and biochemical makeup. The ability to recognise risk factors for
infection, institute effective infection control measures, and to educate patients on these topics is
crucial for nurses.
Conclusion
As a result of its ability to induce life-threatening lung infections, cytomegalovirus
(CMV) pneumonia is a significant health concern for immunocompromised persons like organ
transplant recipients. CMV pneumonia is more likely to occur in people using
immunosuppressive drugs like tacrolimus. Microscopes play a vital role in nursing by aiding in
correctly identifying and diagnosing infections and serving as essential educational tools for
training nursing professionals in understanding the morphology and characteristics of various
microorganisms.
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References
Addis, T., Mekonnen, Y., Ayenew, Z., Fentaw, S., & Biazin, H. (2021). Bacterial uropathogens
and burden of antimicrobial resistance pattern in urine specimens referred to Ethiopian
Public Health Institute. PloS one, 16(11), e0259602.
https://doi.org/10.1371/journal.pone.0259602
Esposito, S., Chiopris, G., Messina, G., D’Alvano, T., Perrone, S., & Principi, N. (2021).
Prevention of congenital cytomegalovirus infection with vaccines: state of the
art. Vaccines, 9(5), 523. https://doi.org/10.3390/vaccines9050523
Shepherd, F. R., & McLaren, J. E. (2020). T cell immunity to bacterial pathogens: mechanisms
of immune control and bacterial evasion. International journal of molecular
sciences, 21(17), 6144. https://doi.org/10.3390/ijms21176144
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