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
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.
引用
收藏
页码:139 / 141
页数:3
相关论文
共 13 条
  • [1] Neovascularization associated with cytomegalovirus retinitis
    Bogie, GJ
    Nanda, SK
    [J]. 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
    Jabs, DA
    van Natta, ML
    Kempen, JH
    Pavan, PR
    Lim, JI
    Murphy, RL
    Hubbard, LD
    [J]. 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
    Johnson, SC
    Benson, CA
    Johnson, DW
    Weinberg, A
    [J]. 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
    Karavellas, MP
    Plummer, DJ
    Macdonald, JC
    Torriani, FJ
    Shufelt, CL
    Azen, SP
    Freeman, WR
    [J]. 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
    Karavellas, MP
    Song, M
    MacDonald, JC
    Freeman, WR
    [J]. AMERICAN JOURNAL OF OPHTHALMOLOGY, 2000, 130 (01) : 57 - 64
  • [6] HISTOPATHOLOGIC AND IMMUNOHISTOPATHOLOGIC FEATURES OF SUBRETINAL FIBROSIS AND UVEITIS SYNDROME
    KIM, MK
    CHAN, CC
    BELFORT, R
    FARAH, M
    BURNIER, MP
    NUSSENBLATT, RB
    KUWABARA, T
    PALESTINE, AG
    [J]. AMERICAN JOURNAL OF OPHTHALMOLOGY, 1987, 104 (01) : 15 - 23
  • [7] Highly active antiretroviral therapy-related immune recovery in AIDS patients with cytomegalovirus retinitis
    Macdonald, JC
    Karavellas, MP
    Torriani, FJ
    Morse, LS
    Smith, IL
    Reed, JB
    Freeman, WR
    [J]. OPHTHALMOLOGY, 2000, 107 (05) : 877 - 881
  • [8] Immune recovery uveitis in patients with AIDS and cytomegalovirus retinitis after highly active antiretroviral therapy
    Nguyen, QD
    Kempen, JH
    Bolton, SG
    Dunn, JP
    Jabs, DA
    [J]. 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?
    Postelmans, L
    Payen, MC
    De Wit, S
    Caspers-Velu, L
    [J]. OCULAR IMMUNOLOGY AND INFLAMMATION, 1999, 7 (3-4) : 237 - 240
  • [10] Immune-recovery uveitis in patients with cytomegalovirus retinitis taking highly active antiretroviral therapy
    Robinson, MR
    Reed, G
    Csaky, KG
    Polis, MA
    Whitcup, SM
    [J]. AMERICAN JOURNAL OF OPHTHALMOLOGY, 2000, 130 (01) : 49 - 56