Coroiditis criptocócica en un paciente con síndrome de inmunodeficiencia adquirida
- MC Fernández González
- E Pérez Blázquez
- A Gálvez Ruiz
- JA Bonales Daimiel
ISSN: 0365-6691
Year of publication: 2003
Volume: 78
Issue: 2
Pages: 103-105
Type: Article
More publications in: Archivos de la Sociedad Española de Oftalmologia
Abstract
Purpose/Methods: We report the case of a 31 year old male with presumed cryptococcal choroiditis associated with cryptococcal meningitis and AIDS. Multiple yellowish-whitish small choroidal lesions, retinal hemorrhages and cotton-wool spots appeared in the posterior pole associated with vision loss. We also carried out differential diagnosis with other frequent diseases and a review of the treatments. Results/Conclusions: Cryptococcus neoformans is an opportunistic fungus with a predilection for infecting the meninges in patients with Acquired Immunodeficiency Syndrome AIDS (10%). Ocular manifestation usually includes cranial nerve palsies or papilledema secondary to increased intracranial pressure. Cryptococcal choroiditis is less frequent (5% of patients with meningitis).
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