Results A 15-year-old with a history of neuroblastoma, with ethmoid and choanae extension, metastatic to neck and spine, who was transplanted autologous bone marrow in August 2015. She was in a hospital of the city of Bogota/Colombia for febrile syndrome and respiratory symptoms, chest radiography suggested multilobar pneumonia requiring invasive ventilatory support, the chest tomography revealed parenchymal opacities in four quadrants, consolidation in lower lobes and ground glass in the middle, upper and lower