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Macular CMV retinitis: a case report.
- Source :
-
Bulletin de la Societe belge d'ophtalmologie [Bull Soc Belge Ophtalmol] 2004 (293), pp. 17-21. - Publication Year :
- 2004
-
Abstract
- Purpose: Cytomegalovirus (CMV) retinitis is the most common ocular opportunistic infection associated with AIDS. It usually affects the peripheral retina, sparing the macula. We describe an atypical CMV retinitis exclusively confined to the macula.<br />Methods: A 43-year-old man with the diagnosis of AIDS developed a white retinal lesion confined to the macula of the right eye. Two weeks later, a more typical granular appearance was observed leading to presumption of CMV retinitis.<br />Results: The patient was treated with ganciclovir without success. With foscarnet, a good response was obtained, leading to total healing of the lesion.<br />Conclusions: CMV retinitis has to be taken into consideration in all lesions confined to the macula in immunodepressed patients. An early diagnosis is crucial to avoid blindness.
- Subjects :
- AIDS-Related Opportunistic Infections drug therapy
Adult
Antiviral Agents therapeutic use
Cytomegalovirus Retinitis drug therapy
Fatal Outcome
Foscarnet therapeutic use
Humans
Macula Lutea pathology
Male
Necrosis diagnosis
Toxoplasmosis, Cerebral diagnosis
AIDS-Related Opportunistic Infections diagnosis
Cytomegalovirus Retinitis diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 0081-0746
- Issue :
- 293
- Database :
- MEDLINE
- Journal :
- Bulletin de la Societe belge d'ophtalmologie
- Publication Type :
- Academic Journal
- Accession number :
- 15510719