AIDS-related
Choroiditis
Cryptococcal
Cryptococcus
HIV and AIDS
Toxoplasma
Journal
IDCases
ISSN: 2214-2509
Titre abrégé: IDCases
Pays: Netherlands
ID NLM: 101634540
Informations de publication
Date de publication:
2020
2020
Historique:
received:
22
06
2020
revised:
03
08
2020
accepted:
04
08
2020
entrez:
5
9
2020
pubmed:
5
9
2020
medline:
5
9
2020
Statut:
epublish
Résumé
We describe a case of Cryptococcal choroiditis in a person with advanced HIV/AIDS. A 29-year-old male with AIDS presented with fever, photophobia, and ataxia secondary to cryptococcal and toxoplasma meningoencephalitis. Dilated fundoscopic examination revealed bilateral and multifocal posterior infiltrates consistent with cryptococcal choroiditis. Treatment with parenteral and intravitreal liposomal amphotericin B, oral flucytosine, and oral trimethoprim-sulfamethoxazole led to resolution of his symptoms and improvement in his vision. Our case documents a rare, intraocular opportunistic infection and highlights the importance of ophthalmologic examination in immunocompromised hosts with visual symptoms and invasive fungal infection. We discuss diagnostic and treatment considerations in cryptococcal choroiditis.
Identifiants
pubmed: 32884904
doi: 10.1016/j.idcr.2020.e00931
pii: S2214-2509(20)30239-0
pii: e00931
pmc: PMC7452429
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e00931Informations de copyright
© 2020 The Authors.
Déclaration de conflit d'intérêts
The authors report no declarations of interest.
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