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Presumed cytomegalovirus retinitis in a non-immune compromised patient with breast carcinoma during treatment: A case report.

Authors :
Kao CC
Hsu SL
Sheu SJ
Source :
American journal of ophthalmology case reports [Am J Ophthalmol Case Rep] 2021 Jul 07; Vol. 23, pp. 101161. Date of Electronic Publication: 2021 Jul 07 (Print Publication: 2021).
Publication Year :
2021

Abstract

Purpose: Cytomegalovirus (CMV) retinitis is one of the most common opportunistic infections in immunocompromised patients, including patients with acquired immunodeficiency syndrome (AIDS). CMV retinitis in non-human immunodeficiency virus (HIV)-infected patients has been reported with variable presentations. Significant intraocular inflammation is common, and visual prognosis is poor if not properly managed.<br />Observations: We present a case of presumed CMV retinitis in a non-immunocompromised breast cancer patient that occurred during cancer treatment. The ocular symptoms developed one day after partial mastectomy with intra-operative radiotherapy following five months of chemotherapy treatment. Ocular manifestations included panuveitis with mild peripheral retinitis.<br />Conclusions and Importance: Early diagnosis and prompt treatment with oral valganciclovir based on the clinical manifestation and serologic test findings helped to preserve vision.<br />Competing Interests: No conflict of interest exists for any author.<br /> (© 2021 Published by Elsevier Inc.)

Details

Language :
English
ISSN :
2451-9936
Volume :
23
Database :
MEDLINE
Journal :
American journal of ophthalmology case reports
Publication Type :
Report
Accession number :
34307962
Full Text :
https://doi.org/10.1016/j.ajoc.2021.101161