Immune Recovery Uveitis Masked as an Endogenous Endophthalmitis in a Patient with Active CMV Retinitis
Joint Authors
Figueiredo, Ligia
Varandas, Rosário
Rothwell, Renata
Bilhoto, Miguel
Fonseca, Sofia
Source
Case Reports in Ophthalmological Medicine
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-04-09
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Cytomegalovirus (CMV) retinitis may occur in profoundly immunocompromised patients and be the initial AIDS-defining infection.
The incidence and prevalence of CMV retinitis has declined substantially in the era of highly active antiretroviral therapy (HAART); nevertheless, it remains a leading cause of ocular morbility.
We report the case of a 40-year-old man with blurred vision and pain in the right eye, three weeks after the initiation of effective HAART treatment.
Ocular examination revealed a panuveitis causing an anterior chamber reaction with hypopyon and a dense vitreous haze.
An endogenous endophthalmitis was suspected and treatment was ensued, without improvement.
A vitreous tap was performed, and a positive polymerase chain reaction for CMV was found.
A diagnosis of immune recovery uveitis (IRU) was made, and the patient responded to treatment with valganciclovir and dexamethasone.
IRU is an intraocular inflammation that develops in patients with HAART-induced immune recovery and inactive CMV retinitis, although cases of active CMV retinitis have been described.
Presentation with panuveitis and hypopion is rare and may be misleading regarding diagnosis and management.
American Psychological Association (APA)
Figueiredo, Ligia& Rothwell, Renata& Bilhoto, Miguel& Varandas, Rosário& Fonseca, Sofia. 2013. Immune Recovery Uveitis Masked as an Endogenous Endophthalmitis in a Patient with Active CMV Retinitis. Case Reports in Ophthalmological Medicine،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-473525
Modern Language Association (MLA)
Figueiredo, Ligia…[et al.]. Immune Recovery Uveitis Masked as an Endogenous Endophthalmitis in a Patient with Active CMV Retinitis. Case Reports in Ophthalmological Medicine No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-473525
American Medical Association (AMA)
Figueiredo, Ligia& Rothwell, Renata& Bilhoto, Miguel& Varandas, Rosário& Fonseca, Sofia. Immune Recovery Uveitis Masked as an Endogenous Endophthalmitis in a Patient with Active CMV Retinitis. Case Reports in Ophthalmological Medicine. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-473525
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-473525