Presumed choroidal atypical tuberculosis superinfected with cytomegalovirus retinitis in an acquired immunodeficiency syndrome patient: A case report

Li J. Lai, San N. Chen, Ya H. Kuo, Jau D. Ho, Cheng Lien Ho

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Background: To report an unusual case of multifocal choroidopathy with uveitis and cytomegalovirus (CMV) retinitis in a patient with acquired immunodeficiency syndrome (AIDS) after initially presenting with pulmonary tuberculosis (Mycobacterium kansasii). Case: Slit-lamp biomicroscopy and indirect ophthalmoscopic examination were done. Vitreous biopsy, pars plana vitrectomy, and retinal biopsy were performed. Computer tomography scan, magnetic resonance imaging and biopsy of the brain were also carried out. Observations: Multiple yellowish-white, round, slightly elevated subretinal pigment epithelium lesions were noted in areas devoid of the atrophic retina of previous CMV infection. Anterior uveitis and vitritis were also noted. Vitreous, retina, and brain biopsy did not offer any clue for diagnosis. The visual acuity improved later, along with recovered immunity under the anti-tuberculosis medications and the cocktail therapy for AIDS. Conclusions: Combined CMV retinitis and atypical tuberculosis chorioretinitis, although rare, can develop in the patients with AIDS. Systemic dissemination of atypical tuberculosis infection should be responsible for the choroidopathy in this patient.

Original languageEnglish
Pages (from-to)463-468
Number of pages6
JournalJapanese Journal of Ophthalmology
Volume46
Issue number4
DOIs
Publication statusPublished - Jul 2002
Externally publishedYes

Keywords

  • Acquired immunodeficiency syndrome
  • Atypical tuberculosis
  • Choroidopathy
  • Cytomegalovirus retinitis
  • Human immunodeficiency virus

ASJC Scopus subject areas

  • Ophthalmology

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