Bilateral multifocal choroiditis and optic neuropathy in a patient with AIDS: a diagnostic dilemma.
A rare case of bilateral multifocal choroiditis and optic neuropathy as the result of disseminated cryptococcal infection in a person with AIDS is described. A 30-year-old HIV-positive man presented with fever, headache, vomiting, and altered sensorium Ophthalmological examination revealed bilateral multifocal choroiditis and optic neuropathy. Laboratory examination and imaging suggested a presumptive diagnosis of disseminated Cryptococcus neoformans infection. Therapeutic response confirmed the diagnosis.
Gharai
Sujit
S
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Venkatesh
Pradeep
P
Garg
Satpal
S
Sharma
Surendra
S
Tahir
Mohammed
M
Sinha
Anindita
A
Samanta
Palash
P
Gopi
Arun
A
D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis*; D000328:Adult; D002833:Choroiditis / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D003453:Cryptococcosis / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D003454:Cryptococcus / Q000302:isolation & purification; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D009901:Optic Nerve Diseases / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology