Multifocal choroiditis in disseminated Cryptococcus neoformans infection.

Abstract:

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 choroiditis. 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.

journal_name

Am J Ophthalmol

authors

Andreola C,Ribeiro MP,de Carli CR,Gouvea AL,Curi AL

doi

10.1016/j.ajo.2006.03.024

subject

Has Abstract

pub_date

2006-08-01 00:00:00

pages

346-8

issue

2

eissn

0002-9394

issn

1879-1891

pii

S0002-9394(06)00375-8

journal_volume

142

pub_type

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