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Revista Cubana de Oftalmología

ISSN 1561-3070 (Electronic)
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2016, Number 4

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Rev Cub Oftal 2016; 29 (4)

Cytomegalovirus retinitis in a HIV patient

Vejerano DAÁ
Full text How to cite this article

Language: Spanish
References: 9
Page: 741-746
PDF size: 82.95 Kb.


Key words:

HIV/AIDS, retinitis, cytomegalovirus, ocular manifestations.

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.


REFERENCES

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  2. Álvarez Díaz, Mávila C. Caracterización de las alteraciones oftalmológicas en pacientes con VIH/SIDA. La Habana: Centro Oftalmológico "Dr. Enrique Cabrera"; 2011 [citado 23 de octubre de 2016]. Disponible en: http://www.bvs.sld.cu/revistas/mciego/vol17_02_2011/articulos/t-11.html

  3. González Sotero J. Alteraciones de la superficie ocular en pacientes con VIH/SIDA. Rev Cie Méd Pinar del Río. 2011 [citado 23 de octubre de 2016];15(3). Disponible en: http://scielo.sld.cu/scielo.php?pid=S156131942011000300010&script=sci_arttext&tln g=en

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  6. Arruda RF, Muccioli C, Belfort R. Achados oftalmológicos em infectados pelo HIV na pós-HAART e comparação com série de paciente avalaidos no período pré-HAART. Rev Assoc Med Bras. 2011;50(2):5.

  7. Lin DY, Warren JF, Lazzeroni LC, Wolitz RA, Mansour SE. Cytomegalovirus retinitis after initiation of highly active antiretroviral therapy in HIV infected patients: natural history and clinical predictors. Retina. 2012;22:268-77.

  8. Camacho Ruaigip F, Alemañy González J. Alteraciones oftalmológicas en el SIDA. Rev Cubana Oftalmol. 2004 [citado 20 de enero de 2012];17(2). Disponible en: http://www.bvs.sld.cu/revistas/oft/vol17_2_04/oft11204.htm

  9. Fayad Rodríguez Y. Manifestaciones neuroftamológicas en el síndrome de inmunodeficiencia adquirida. Rev Electr "Archivo Médico de Camagüey". 1999 [citado 12 de marzo de 2012];3(4). Disponible en: http://www.amc.sld.cu/amc/1999/v3n4/255.htm




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Rev Cub Oftal. 2016;29