Fibrovascular changes misdiagnosed as cytomegalovirus retinitis reactivation in a patient with immune recovery

被引：3

作者：

Robinson, MR

Csaky, KG

Lee, SS

Masur, H

Polis, MA

机构：

[1] NEI, NIH, Bethesda, MD 20892 USA

[2] NIAID, NIH, Bethesda, MD 20892 USA

来源：

CLINICAL INFECTIOUS DISEASES | 2004年 / 38卷 / 01期

关键词：

D O I：

10.1086/380127

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

A patient with human immunodeficiency virus infection and cytomegalovirus ( CMV) retinitis developed immune recovery uveitis as a result of receipt of highly active antiretroviral therapy. Fibrovascular changes occurred in the CMV retinitis scar, were misdiagnosed as CMV retinitis reactivation, and were treated with anti- CMV medication. Fibrovascular membranes can be misdiagnosed as reactivated CMV retinitis, and a proper diagnosis is essential to avoid unnecessary therapy with potentially toxic antiviral medications.

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收藏

页码：139 / 141

页数：3

相关论文

共 13 条

[1] Neovascularization associated with cytomegalovirus retinitis [J].

Bogie, GJ ;

Nanda, SK .

RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES, 2001, 21 (01) :85-87

[2] Characteristics of patients with cytomegalovirus retinitis in the era of highly active antiretroviral therapy [J].

Jabs, DA ;

van Natta, ML ;

Kempen, JH ;

Pavan, PR ;

Lim, JI ;

Murphy, RL ;

Hubbard, LD .

AMERICAN JOURNAL OF OPHTHALMOLOGY, 2002, 133 (01) :48-61

[3] Recurrences of cytomegalovirus retinitis in a human immunodeficiency virus-infected patient, despite potent antiretroviral therapy and apparent immune reconstitution [J].

Johnson, SC ;

Benson, CA ;

Johnson, DW ;

Weinberg, A .

CLINICAL INFECTIOUS DISEASES, 2001, 32 (05) :815-819

[4] Incidence of immune recovery vitritis in cytomegalovirus retinitis patients following institution of successful highly active antiretroviral therapy [J].

Karavellas, MP ;

Plummer, DJ ;

Macdonald, JC ;

Torriani, FJ ;

Shufelt, CL ;

Azen, SP ;

Freeman, WR .

JOURNAL OF INFECTIOUS DISEASES, 1999, 179 (03) :697-700

[5] Long-term posterior and anterior segment complications of immune recovery uveitis associated with cytomegalovirus retinitis [J].

Karavellas, MP ;

Song, M ;

MacDonald, JC ;

Freeman, WR .

AMERICAN JOURNAL OF OPHTHALMOLOGY, 2000, 130 (01) :57-64

[6] HISTOPATHOLOGIC AND IMMUNOHISTOPATHOLOGIC FEATURES OF SUBRETINAL FIBROSIS AND UVEITIS SYNDROME [J].

KIM, MK ;

CHAN, CC ;

BELFORT, R ;

FARAH, M ;

BURNIER, MP ;

NUSSENBLATT, RB ;

KUWABARA, T ;

PALESTINE, AG .

AMERICAN JOURNAL OF OPHTHALMOLOGY, 1987, 104 (01) :15-23

[7] Highly active antiretroviral therapy-related immune recovery in AIDS patients with cytomegalovirus retinitis [J].

Macdonald, JC ;

Karavellas, MP ;

Torriani, FJ ;

Morse, LS ;

Smith, IL ;

Reed, JB ;

Freeman, WR .

OPHTHALMOLOGY, 2000, 107 (05) :877-881

[8] Immune recovery uveitis in patients with AIDS and cytomegalovirus retinitis after highly active antiretroviral therapy [J].

Nguyen, QD ;

Kempen, JH ;

Bolton, SG ;

Dunn, JP ;

Jabs, DA .

AMERICAN JOURNAL OF OPHTHALMOLOGY, 2000, 129 (05) :634-639

[9] Neovascularization of the optic disc after highly active antiretroviral therapy in an AIDS patient with cytomegalovirus retinitis - A new immune recovery-related ocular disorder? [J].

Postelmans, L ;

Payen, MC ;

De Wit, S ;

Caspers-Velu, L .

OCULAR IMMUNOLOGY AND INFLAMMATION, 1999, 7 (3-4) :237-240

[10] Immune-recovery uveitis in patients with cytomegalovirus retinitis taking highly active antiretroviral therapy [J].

Robinson, MR ;

Reed, G ;

Csaky, KG ;

Polis, MA ;

Whitcup, SM .

AMERICAN JOURNAL OF OPHTHALMOLOGY, 2000, 130 (01) :49-56