AI Article Synopsis
- A 30-year-old man experienced sudden loss of vision in his left visual field, leading to the discovery of isolated homonymous hemianopsia.
- MRI scans identified brain lesions consistent with cerebral tubercular abscess as a result of presumptive HIV infection.
- The case demonstrates that unusual eye symptoms can be the first signs of HIV, stressing the importance of considering HIV testing in young patients with similar symptoms.
Article Abstract
We report a case of isolated homonymous hemianopsia due to presumptive cerebral tubercular abscess as the initial manifestation of human immunodeficiency virus (HIV) infection. A 30-year-old man presented to our outpatient department with sudden loss of visibility in his left visual field. He had no other systemic symptoms. Perimetry showed left-sided incongruous homonymous hemianopsia denser above the horizontal meridian. Magnetic resonance imaging revealed irregular well-marginated lobulated lesions right temporo-occipital cerebral hemisphere and left high fronto-parietal cerebral hemisphere suggestive of brain tubercular abscess. Serological tests for HIV were reactive, and the patient was started only on anti-tubercular drugs with the presumptive diagnosis of cerebral tubercular abscess. Therapeutic response confirmed the diagnosis. Atypical ophthalmic manifestations may be the initial presenting feature in patients with HIV infection. This highlights the need for increased index of suspicion for HIV infection in young patients with atypical ophthalmic manifestations.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3442472 | PMC |
| http://dx.doi.org/10.4103/0301-4738.98719 | DOI Listing |
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