Ocular immunology and inflammation · 2008
Primary bilateral multifocal choroiditis as an initial manifestation of disseminated cryptococcosis in a HIV-positive patient.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Babu Kalpana, Murthy Krishna R, Rajagopalan Nirmala
Аннотация
PURPOSE: To report a rare case of primary bilateral multifocal choroiditis due to disseminated cryptococcus infection in a HIV-positive patient.
METHODS: Retrospective report. A 30-year-old asymptomatic HIV-positive male referred to us for a routine ophthalmic evaluation had bilateral, multiple choroidal lesions. CSF confirmed cryptococcus by India ink preparation and antigen by latex agglutination. The lesions began to resolve with intravenous amphotericin B and oral fluconazole.
CONCLUSIONS: Asymptomatic, primary, bilateral multifocal choroiditis due to cryptococcus is rare. A routine ophthalmic examination in HIV-positive patients can alert the treating physician to a possibility of a fatal disease.
METHODS: Retrospective report. A 30-year-old asymptomatic HIV-positive male referred to us for a routine ophthalmic evaluation had bilateral, multiple choroidal lesions. CSF confirmed cryptococcus by India ink preparation and antigen by latex agglutination. The lesions began to resolve with intravenous amphotericin B and oral fluconazole.
CONCLUSIONS: Asymptomatic, primary, bilateral multifocal choroiditis due to cryptococcus is rare. A routine ophthalmic examination in HIV-positive patients can alert the treating physician to a possibility of a fatal disease.
Предметные рубрики MeSH
AIDS-Related Opportunistic InfectionsAdultAmphotericin BAntifungal AgentsCD4 Lymphocyte CountCerebrospinal FluidChoroiditisCryptococcosisCryptococcus neoformansDrug Therapy, CombinationEye Infections, FungalFatal OutcomeFluconazoleFluorescein AngiographyFunctional LateralityHIV SeropositivityHumansMaleRetrospective Studies