Multifocal choroiditis in disseminated Cryptococcus neoformans infection

被引：19
|
作者：
Andreola, Carla
Ribeiro, Maria P. D.
de Carli, Carla R. S.
Gouvea, Ana Luisa F.
Curi, Andre L. L.
机构：
[1] Ctr Previdenciario Niteroi, AIDS Sect, Dept Ophthalmol, Niteroi, RJ, Brazil
[2] Univ Fed Fluminense, Dept Infect Dis, Niteroi, RJ, Brazil
[3] Univ Fed Fluminense, Dept Pathol, Niteroi, RJ, Brazil
[4] Univ Fed Minas Gerais, Dept Ophthalmol, Belo Horizonte, MG, Brazil
来源：
AMERICAN JOURNAL OF OPHTHALMOLOGY | 2006年 / 142卷 / 02期
关键词：
D O I：
10.1016/j.ajo.2006.03.024
中图分类号：
R77 [眼科学];
学科分类号：
100212 ;
摘要：
PURPOSE: To report an uncommon case of multifocal choroiditis as the result of disseminated Cryptococcus neoformans infection in a patient who is HIV-positive. DESIGN: Interventional case report. METHODS: A 27-year-old HIV-positive woman with fever, headache, and vomiting was examined. Lumbar puncture was performed and revealed C neoformans infection. Her condition evolved with sudden bilateral blindness and deafness. Ophthalmologic examination revealed multiple yellowish choroidal lesions in the posterior pole of both eyes. RESULTS: Postmortem examination showed disseminated C neoformans infection. Histologic examination of the eyes confirmed the presence of C neoformans in the choroids. CONCLUSION: Multifocal choroiditis in C neoformans infection is a rare ophthalmic manifestation. The recognition of this condition by ophthalmologists can help physicians to diagnose a disseminated and fatal disease.
引用
收藏
页码：346 / 348
页数：3
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