CYTOMEGALOVIRUS RETINITIS AFTER TREATMENT WITH INTRAVITREAL TRIAMCINOLONE ACETONIDE IN AN IMMUNOCOMPETENT PATIENT
Autor: | Eric Chen, James F. Vander, Jason Hsu |
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Rok vydání: | 2007 |
Předmět: |
medicine.medical_specialty
Intravitreal triamcinolone genetic structures business.industry Congenital cytomegalovirus infection Retinitis Retinal General Medicine medicine.disease Acetonide eye diseases Ophthalmology chemistry.chemical_compound chemistry Diabetes mellitus Medicine Cytomegalovirus retinitis business Vasculitis |
Zdroj: | RETINAL Cases & Brief Reports. 1:208-210 |
ISSN: | 1935-1089 |
Popis: | To describe a case of cytomegalovirus (CMV) retinitis following intravitreal triamcinolone acetonide (IVTA) in an immunocompetent patient.A 77-year-old man with a history of diabetes mellitus developed retinal whitening with a vasculitis 6 weeks after receiving IVTA in the left eye. A vitreous biopsy was performed.Polymerase chain reaction was positive for CMV (419,000 copies/mL). A complete medical evaluation, including a negative test for human immunodeficiency virus, showed no systemic evidence of immunosuppression except for a highly elevated hemoglobin A1C level.CMV retinitis may be a rare complication of IVTA, possibly due to local ocular immunosuppression from the steroid medication. Poorly controlled diabetes mellitus may have contributed to this development. |
Databáze: | OpenAIRE |
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