2016, Number 4
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Rev Cub Oftal 2016; 29 (4)
Cytomegalovirus retinitis in a HIV patient
Vejerano DAÁ
Language: Spanish
References: 9
Page: 741-746
PDF size: 82.95 Kb.
ABSTRACT
Retinitis caused by cytomegalovirus is the most frequent opportunistic infection in
patients with a lymphocyte count CD4 less 200 µL. The ophthalmological aspect of the lesions in most of cases is characterized by retinal infiltrates derived from the retinal
necrosis caused by cytomegalovirus and the edema associated to hemorrhages. In
general, these lesions are arranged in the same form as the temporal vascular
arcades and go into the macula. Here is a 24 years-old Caucasian female patient ,
housewife with a history of ocular problems with no interesting data and positive
diagnosis of HIV, She began an antiretroviral treatment four your ago, which was
changed twice. The last one was administered on May 2011 and the therapeutic
adherence was inadequate. Since then, she began losing weight significantly in a
short period of time. Some months ago, she reported a progressive reduction of the
visual acuity in the right eye and blurred vision. This case is very important because,
due to the survival rate of AIDS patients, the occurrence of ocular diseases related to
it will become more frequent. One of them is major opportunistic infection such as
cytomegalovirus retinitis.
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