title: Intermediate uveitis: an unusual presentation of cytomegalovirus intraocular infection in an immunocompetent patient.
abstract: We report a case of cytomegalovirus (CMV) intraocular infection in an otherwise healthy 51-year-old patient, presenting atypically as isolated intermediate uveitis without retinitis or retinal vasculitis. The patient had a confirmed CMV infection as a cause of her intraocular inflammation via PCR DNA testing of an aqueous sample. Appropriate oral antiviral therapy was initiated, and resulted in complete resolution of inflammation and improvement in visual acuity. Prophylactic therapy was instituted thereafter.
authors.affiliation: The Wilmer Eye Institute, Division of Ocular Immunology, The Johns Hopkins University School of Medicine, Baltimore, Maryland, Alexandria Faculty of Medicine, Ophthalmology department, Vitreoretinal diseases and Uveitis division, Alexandria, Egypt.
authors.forename: Rowayda M
authors.initials: RM
authors.lastname: Amin
authors.affiliation: The Wilmer Eye Institute, Division of Ocular Immunology, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
authors.forename: Trucian
authors.initials: T
authors.lastname: Ostheimer
authors.affiliation: The Wilmer Eye Institute, Division of Ocular Immunology, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
authors.forename: Nicholas J
authors.initials: NJ
authors.lastname: Butler
mesh_terms: D000998:Antiviral Agents / Q000627:therapeutic use; D003586:Cytomegalovirus Infections / Q000175:diagnosis* / Q000188:drug therapy; D015828:Eye Infections, Viral / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D015774:Ganciclovir / Q000031:analogs & derivatives / Q000627:therapeutic use; D006801:Humans; D007121:Immunocompetence; D008875:Middle Aged; D015867:Uveitis, Intermediate / Q000175:diagnosis / Q000188:drug therapy / Q000821:virology*; D000077562:Valganciclovir
chemical_list: D000998:Antiviral Agents; D000077562:Valganciclovir; D015774:Ganciclovir