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Gaceta Médica Boliviana

On-line version ISSN 1012-2966


QUISPAYA Q., Rolando  and  FERNANDEZ M., Paola. Cytomegalovirus retinal necrosis: as initial presentation of AIDS . Gac Med Bol [online]. 2019, vol.42, n.2, pp.150-152. ISSN 1012-2966.

The CMV retinitis is the most frequent opportunistic eye infection in AIDS patients. Acute retinal necrosis usually corresponds to VZV or HSV infections, and only in a small cases is it secondary to CMV infection. The treatment (maintenance dose) with valganciclovir does not completely rule out the possibility of developing CMV disease, in addition to being associated with other opportunistic infections, in this case associated with herpes zoster and molluscum contagiosum. We present a Clinical Case of an HIV positive patient, without treatment, with acute retinal necrosis due to CMV of the left eye as an initial form of the presentation of the AIDS stage and CMV retinitis of his right eye several months later, despite being treated with valganciclovir at maintenance dose.

Keywords : retinitis; human immunodeficiency virus (HIV); citomegalovirus.

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