Primary bilateral multifocal choroiditis as an initial manifestation of disseminated cryptococcosis in a HIV-positive patient

Ocular Immunology and Inflammation
Kalpana BabuNirmala Rajagopalan

Abstract

To report a rare case of primary bilateral multifocal choroiditis due to disseminated cryptococcus infection in a HIV-positive patient. Retrospective report. A 30-year-old asymptomatic HIV-positive male referred to us for a routine ophthalmic evaluation had bilateral, multiple choroidal lesions. CSF confirmed cryptococcus by India ink preparation and antigen by latex agglutination. The lesions began to resolve with intravenous amphotericin B and oral fluconazole. Asymptomatic, primary, bilateral multifocal choroiditis due to cryptococcus is rare. A routine ophthalmic examination in HIV-positive patients can alert the treating physician to a possibility of a fatal disease.

References

Aug 1, 2006·American Journal of Ophthalmology·Carla AndreolaAndré L L Curi

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Citations

Jul 8, 2011·Veterinary Ophthalmology·Ernst-Otto RopstadJaime Martorell
May 13, 2020·Ocular Immunology and Inflammation·Remco P H PetersJohn H Kempen

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