[Cryptococcal choroiditis in a patient with acquired immunodeficiency syndrome].
OBJECTIVE
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.


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).
Fernández González
M C
MC
Servicio de Oftalmología, Hospital 12 de Octubre, Madrid, España.
Pérez Blázquez
E
E
Gálvez Ruiz
A
A
Bonales Daimiel
J A
JA
D017088:AIDS-Related Opportunistic Infections / Q000382:microbiology*; D000328:Adult; D002833:Choroiditis / Q000382:microbiology*; D003453:Cryptococcosis; D006801:Humans; D008297:Male