Fibrovascular changes misdiagnosed as cytomegalovirus retinitis reactivation in a patient with immune recovery.

Robinson, Michael R; Csaky, Karl G; Lee, Susan S; Masur, Henry; Polis, Michael A · Clin Infect Dis · 2004

case_report · Level V

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Abstract

A patient with human immunodeficiency virus infection and cytomegalovirus (CMV) retinitis developed immune recovery uveitis as a result of receipt of highly active antiretroviral therapy. Fibrovascular changes occurred in the CMV retinitis scar, were misdiagnosed as CMV retinitis reactivation, and were treated with anti-CMV medication. Fibrovascular membranes can be misdiagnosed as reactivated CMV retinitis, and a proper diagnosis is essential to avoid unnecessary therapy with potentially toxic antiviral medications.

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