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A case of cytomegalovirus retinitis Yoko Ogawa 1 , Izumi Kamoshita 1 , Utako Saga 1 , Mitsuo Kitahara 2 , Yonosuke Watanabe 3 , Atsushi Kurata 4 1Dept. of Ophthalmol, Saiseikai Cent Hosp 2Dept of Intern Med, Saiseikai Cent Hosp 3Dept of Pathol, Sch of Med Keio Univ 4Dept of Pathol, Natl Inst of Health pp.703-707
Published Date 1987/6/15
DOI https://doi.org/10.11477/mf.1410210081
  • Abstract
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A 64-year-old male was brought to the emer-gency room due to unconsciousness. He was dian-gosed as septicemia and was treated by massive systemic antibiotics. Systemic corticosteroid ther-apy was started 6 days later to treat asthmatous attacks. Intravenous hyperalimentation was also instituted. On day 20 of the disease, blood culture showed Candida albicans. The patient was referred to us on day 25.

Funduscopy showed multiple yellowish-white lesions and Roth spots in both fundi. The yellowish-white lesions were elevated. These findings were suggestive of candida endophthalmitis. The patient died on day 82 due to pneumonia.

Postmortem studies of the right eye revealed cytomegalovirus retinitis by light and electron microscopy and by immunofluorescent antibody test. Immunofluorescent antibody tests were nega-tive for antigens of Candida albicans, herpes sim-plex virus and herpes zoster viruses. Cytomegalovir-us retinitis is a possibility in presumed candida endophthalmitis.

Rinsho Ganka (Jpn J Clin Ophthalmol) 41(6) : 703-707, 1987


Copyright © 1987, Igaku-Shoin Ltd. All rights reserved.

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