title: Fibrovascular changes misdiagnosed as cytomegalovirus retinitis reactivation in a patient with immune recovery.
abstract: A patient with human immunodeficiency virus infection and cytomegalovirus (CMV) retinitis developed immune recovery uveitis as a result of receipt of highly active antiretroviral therapy. Fibrovascular changes occurred in the CMV retinitis scar, were misdiagnosed as CMV retinitis reactivation, and were treated with anti-CMV medication. Fibrovascular membranes can be misdiagnosed as reactivated CMV retinitis, and a proper diagnosis is essential to avoid unnecessary therapy with potentially toxic antiviral medications.
authors.affiliation: National Eye Institute, National Institutes of Health, Bethesda, Maryland 20892-1863, USA. robinsonm@nei.nih.gov
authors.forename: Michael R
authors.initials: MR
authors.lastname: Robinson
authors.forename: Karl G
authors.initials: KG
authors.lastname: Csaky
authors.forename: Susan S
authors.initials: SS
authors.lastname: Lee
authors.forename: Henry
authors.initials: H
authors.lastname: Masur
authors.forename: Michael A
authors.initials: MA
authors.lastname: Polis
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000473:pathology / Q000821:virology*; D000328:Adult; D017726:Cytomegalovirus Retinitis / Q000175:diagnosis* / Q000209:etiology; D003951:Diagnostic Errors; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male