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Comment & Response
October 2017

Cytomegalovirus in Patients in the Intensive Care Unit—Reply

Author Affiliations
  • 1University of Birmingham, Birmingham, England
  • 2Worcestershire Acute NHS Trust, Worcester, England
  • 3University Hospitals Birmingham NHS Foundation Trust, Birmingham, England
JAMA Intern Med. 2017;177(10):1543. doi:10.1001/jamainternmed.2017.4401

In Reply We appreciate the interest shown in our Original Investigation.1 Drs Navarro and Aguilar are correct to note that the small numbers of patients in whom we could obtain repeat bronchiolar lavage specimens makes conclusions on viral suppression in the lung difficult. We agree that the effective suppression of viremia may not necessarily exclude end organ disease.

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