This 35-year-old Thai lady presented with blurring of vision on the right eye. She has been diagnosed with HIV and her CD4 was < 50.
Here are pictures from fundoscopy on her right eye.
Question:
What is the diagnosis?
Mon, 210708 @ 0700
This 35-year-old Thai lady presented with blurring of vision on the right eye. She has been diagnosed with HIV and her CD4 was < 50.
Here are pictures from fundoscopy on her right eye.
Question:
What is the diagnosis?
Mon, 210708 @ 0700
Answer today: (Sorry didn’t have time to go on the net yesterday)
The answer is indeed Cytomegalovirus (Chorio)retinitis. The fundoscopic picture shown is diagnostic of this condition, showing retinal hemorrhages (red) and exudates (white) giving a “brush fire” appearance. Here we do not see brush fire, so I guess the other way of describing it would be pizza cheese and tomato sauce appearance.
Everyone gets a kudo this time: FengY, Jing, mbism1, TFTD, oyy a.k.a TMNT, dytia, daun serai, yumei and CK.
Well done. I hope one day you will be able to diagnose one when you do a fundoscopy.
Aiyoyo, the picture looks quite small in my PDA,
Diagnosis: CMV retinis as opportunistic infection of the eye(s) when the immunity is low. It is associated with low CD4 count (<50).
Fundoscopy image showed involvement of the optic disc & ?macula (1st picture) with patchy hemorrhages & large cotton wool spots in co-relation with vision blurring symptoms of the patient.
eek, looking at the whole list of things it could be…
i have no idea anymore. ._.
cmv retinitis?
haha… I use TMNT for this case only cuz pizza is TMNT’s favourite….(jess…act, I got influenced by my 5-y-o cousins)
cmv chorioretinitis
cheese pizza…nyum
CMV retinitis
Welcome back oyy a.k.a TMNT.
aih yio!!!!!! now I am back.. have been struggling to get this webpage loaded in Belfast in one week becoz it was BARRED (I m curious)and I missed last week case… argh..
this is CMV retinitis. typical PIZZA! as jing pointed out!!
I think if we BMJed CMV retinitis….. haha.. there will be a leak again.
CMV chorioretinitis. Mostly seen in HIV patient.
Fundoscopy image showing area of necrosis and haemorrhage with ‘cotton wool’ exudate
Dx – CMV chorioretinitis
DDx – Toxoplasmosis, retinal necrosis
yeap
cmv chorioretinitis
typical pizza appreaance
Just a guess
CMV Retinitis