Abstract
Pulmonary cytolytic thrombi (PCT) is an uncommon post-transplant complication, which is more commonly reported in children than adults. PCT typically presents with low grade fever, cough, shortness of breath and/or hypoxia. Lung CT findings range from small, peripheral nodules to large diffuse infiltrates. The diagnosis is established by lung biopsy, which reveals areas of the pulmonary vasculature which are occluded with cellular debris. Bronchoscopy and lung biopsy are negative for infectious organisms by both immuno-stains and culture.
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