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A case of cytomegalovirus retinitis as the primary clinical symptom in a patient with acquired immunodeficiency syndrome Yuko Goto 1 , Toshiko Yamana 1 , Kazuo Yamasaki 2 1Dept of Ophthalmol, Hamanomachi Hosp 2Dept of Internal Med, Hamanomachi Hosp pp.687-690
Published Date 1995/4/15
DOI https://doi.org/10.11477/mf.1410904266
  • Abstract
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A 22-year old male presented with blurred vision in his right eye. He had suffered from hemophilia A at age 4 and was positive for human immunodeficiency virus at age 15. Both eyes manifestedretinal hemorrhage and exudates with sheathing of the retinal vessels. Antigenemia for cytomegalovirus was demonstrated after the retinitis. Intravenous administration of gancyclovir and anti-cytomegalovirus human monoclonal antibody arrested the progression of the retinitis, but reduction of the gancyclovir twice causedreactivation of the retinitis. Gancyclovir was then given by intravitreal injections and intravenous adminis-tration was stopped. This arrested the progression of the retinitis for four weeks.


Copyright © 1995, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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