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Bilateral Neuroretinitis With Peripapillary Serous Retinal Detachments in a Patient With HIV and HBV
Arch Ophthalmol. 2005;123:1447-1449.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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To date, neuroretinitis with peripapillary serous retinal detachment has been described only in the setting of Bartonella henselae infection.1-2 We describe a patient with human immunodeficiency virus (HIV) and chronic hepatitis B (HBV) infection in whom bilateral neuroretinitis with peripapillary serous retinal detachments developed during acute immunocompromise. History, physical examination, and laboratory testing failed to detect B henselae infection. As this presentation has never been described, to our knowledge, with either HIV or HBV infection alone, we postulate a synergistic viral effect in this case.
Report of a Case
A 42-year-old HIV- positive man was seen in October 2002 with a 2-week history of decreased visual acuity in both eyes. He was afebrile and denied having any systemic symptoms. There was no history of trauma. His medical history was remarkable for chronic asymptomatic HBV infection, chronic hypertension (blood pressure, 160/100 mm Hg), and shingles involving the left arm. He had been noncompliant with all . . . [Full Text of this Article] Comment
AUTHOR INFORMATION
Farzin Forooghian, MD;
Wai-Ching Lam, MD, FRCS(C);
Jill Hopkins, MD, FRCS(C);
Dharminder Dhanda, MD, FRCS(C)
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