This abstract is assigned to sessions
| Title | Atypical presentation of cytomegaloviral retinitis in an immuno-compromised patient |
| Accept poster if oral is not possible ? | Yes |
| Purpose | To present the atypical presentation of cytomegaloviral (CMV) retinitis in an immuno-compromised patient |
| Methods | We report a case of CMV retinitis with atypical feature. The disease course, lab examination result, medical treatment, and response were presented. |
| Results | A 34 year-old-lady was under immunosuppressant treatment for SLE. She had 1. Peripheral retinal necrosis OU. 2. Large area of retinal hemorrhage over necrotic retina. 3. Arterial obstructing vasculitis and venal sheathing over necrotic retina. 4 Distant arterial obstructing vasculitis. There was no vitreous inflammation. CMV retinitis was impressed, but classic CMV retinitis is more often at posterior pole along vascular arcade. Also distant obstructing arteritis is uncommon in CMV retinitis. Aqueous – PCR proved the diagnosis of CMV retinitis. |
| Conclusion | CMV retinitis may present differently according to host immunity. Partially immunocompromised hosts may have peripheral granular necrotizing retinitis, vitritis, and severe occlusive vasculopathy. |
| Conflict of interest | No |
Author 1
| Last name | LI |
| Initials of first name(s) | K.H |
| Department | Changhua Christian Hospital, Taiwan |
| City | Changhua |
| Country | Taiwan |
Author 2
| Last name | Chen |
| Initials of first name(s) | S.N |
| Department | Changhua Christian Hospital, Taiwan |
| City | Changhua |
| Country | Taiwan |