Mesh : Humans Male Middle Aged Cytomegalovirus Retinitis / diagnosis complications Coinfection / diagnosis Eye Infections, Viral / diagnosis virology Herpes Simplex / diagnosis complications Polymerase Chain Reaction Cytomegalovirus / isolation & purification genetics Aqueous Humor / virology DNA, Viral / analysis Immunocompromised Host Simplexvirus / isolation & purification

来  源:   DOI:10.1097/ICB.0000000000001424   PDF(Pubmed)

Abstract:
OBJECTIVE: The purpose of this study was to describe a case of a 64-year-old man presenting with cytomegalovirus and herpes simplex virus retinitis coinfection in the setting of Burkitt lymphoma.
METHODS: A case report including multimodal imaging and anterior chamber polymerase chain reaction results was used.
RESULTS: This case highlights the importance of the clinical examination and maintaining high diagnostic suspicion for viral retinitis in immunocompromised patients.
CONCLUSIONS: Aqueous fluid PCR can be a useful adjunctive test to distinguish and confirm a diagnosis of viral retinitis. Given the limited sample volume of aqueous biopsy, it is important to prioritize the order of PCR testing based on clinical suspicion of the causative agent.
摘要:
目的:描述一例64岁男性在伯基特淋巴瘤中出现巨细胞病毒(CMV)和单纯疱疹病毒(HSV)视网膜炎合并感染的病例。
方法:病例报告,包括多模态成像和前房聚合酶链反应结果。
结果:该病例强调了临床检查的重要性,并对免疫受损患者的病毒性视网膜炎保持高度诊断怀疑。
结论:水性液体PCR可能是区分和确认病毒性视网膜炎诊断的有用辅助测试。鉴于水活检的样本量有限,根据临床对病原体的怀疑,确定PCR检测的顺序是很重要的.
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