AI Article Synopsis
- A 30-year-old man experienced sudden vision loss in his right eye due to isolated unilateral acute retinal necrosis syndrome, with no prior history of herpes zoster or HIV-related conditions.
- Upon examination, the patient was diagnosed with acute retinal necrosis and all other lab tests were normal besides a positive HIV test.
- This case emphasizes the importance of considering HIV infection in young patients presenting with unusual eye conditions like acute retinal necrosis.
Article Abstract
We report a rare case of isolated unilateral acute retinal necrosis syndrome without any history of associated herpes zoster or other conditions attributed to HIV infection as the initial manifestation of HIV infection. A 30-year-old man presented with a history of sudden diminished vision in the right eye with no apparent predisposing factors. Examination revealed right eye acute retinal necrosis. All laboratory test results were normal except the patient tested positive for HIV. This case of an atypical ophthalmic manifestation as initial presentation of HIV infection highlights the need for increased index of suspicion for HIV infection in young patients with acute retinal necrosis syndrome.
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