Cytomegalovirus retinitis presenting as vasculitis in a patient with Wegener's granulomatosis.

PURPOSE: To present an unusual case of cytomegalovirus (CMV) retinitis in a patient with Wegener's granulomatosis.

RESULTS

A 54-year-old lady with Wegener's granulomatosis presented with decreased vision in her left eye. Wegener's retinal vasculitis was diagnosed initially and the patient received treatment with oral steroids. Three days later the patient developed typical CMV retinitis.

CONCLUSION

The likelihood of CMV retinitis in patients with Wegener's granulomatosis should not be overlooked. Increased awareness in such cases is very important since CMV retinitis may present with less typical manifestations, which makes the correct diagnosis more challenging.