3,286 results match your criteria: "Retinitis CMV"

: To report a case of cystoid macular edema (CME) secondary to immune recovery uveitis (IRU) in a patient with previous history of cytomegalovirus (CMV) retinitis and leukemia, which was successfully treated with tocilizumab (TCZ), an interleukin-6 (IL-6) receptor antagonist. : The clinical records of the case were reviewed, focusing on demographics, image findings, and clinical course. : A 17-year-old female with a past medical history of T-cell acute lymphoblastic leukemia (T-ALL) undergoing chemotherapy for two years presented with active CMV retinitis.

View Article and Find Full Text PDF

Purpose: To report a case of cytomegalovirus (CMV)-related hemorrhagic retinal vasculitis in a patient with multiple myeloma (MM) on daratumumab, a trial cereblon E3 ligase modulatory drug (CELMoD), dexamethasone, and acyclovir, and discuss clinical implications for CMV prophylaxis.

Methods: Case report, narrative review of CMV reactivation risk in MM patients on daratumumab and antiviral agent efficacy for CMV prophylaxis.

Results: A 63-year-old female presented with 3 days of progressive unilateral vision loss in the right eye to the level of counting fingers.

View Article and Find Full Text PDF

PrimPol-mediated repriming elicits gap-filling by template switching and promotes cellular tolerance to cidofovir.

DNA Repair (Amst)

November 2024

Department of Chemistry, Graduate School of Science, Tokyo Metropolitan University, Minamiosawa 1-1, Hachioji-shi, Tokyo 192-0397, Japan. Electronic address:

A nucleoside analog, Cidofovir (CDV), is used for the treatment of viral diseases such as cytomegalovirus retinitis and herpes virus infection. CDV converts to its active diphosphate metabolite (CDVpp) through cellular kinases and acts as a competitive inhibitor for viral polymerase thereby interfering with viral replication. However, the effect of this drug on the replication of healthy host cells and the mechanisms involved in the cellular tolerance to CDV are yet to be fully understood.

View Article and Find Full Text PDF

Immune responses drive chorioretinitis and retinal pathology after neonatal CMV infection.

Sci Adv

November 2024

Department of Microbiology and Immunology, Jefferson Center for Vaccines and Pandemic Preparedness, Sidney Kimmel Medical College, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA, USA.

Human cytomegalovirus (CMV) causes a common congenital infection leading to long-term neurological impairments including brain, cochlear, and ocular pathology. Infection of newborn mice with murine (M)CMV is an established model of neuropathology caused by congenital CMV infection, with recent work suggesting that brain pathology may be driven by immune responses. In the eye, however, CMV retinitis is thought to result from virus-driven necrosis in the absence of T cell responses.

View Article and Find Full Text PDF

To describe choriocapillaris loss on optical coherence tomography angiography (OCTA) imaging in a pediatric patient with congenital cytomegalovirus (CMV). A case was evaluated. A 7-year-old female patient was referred for retinal evaluation of maculopathy in the right eye.

View Article and Find Full Text PDF

Antiviral therapy for cytomegalovirus retinitis: A systematic review and meta-analysis.

Surv Ophthalmol

November 2024

Programme for Ocular Inflammation & Infection Translational Research, National Healthcare Group, Singapore, Singapore; Department of Bioinformatics, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore; National Institute for Health Research Biomedical Research Centre, Moorfields Eye Hospital, UK; UCL-Institute of Ophthalmology, UK; National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore; Duke NUS Medical School, Singapore; Singapore Eye Research Institute, Singapore.

Article Synopsis
  • Cytomegalovirus retinitis (CMVR) is a major cause of blindness in advanced AIDS patients, with varied treatment approaches due to the lack of established guidelines.
  • A review of 59 studies revealed an 18% improvement in visual acuity and a 90% rate of inflammation resolution, with ganciclovir being the most commonly used antiviral treatment.
  • Notably, patients on antiretroviral therapy (ART) had a significantly lower recurrence rate of inflammation compared to those not on ART, and the most common side effect reported was neutropenia related to ganciclovir.
View Article and Find Full Text PDF
Article Synopsis
  • Leishmaniasis, transmitted by sand flies, is prevalent in Bihar, India, with three common forms: cutaneous, mucosal, and visceral, typically presenting as fever and enlarged organs.
  • A case of pyrexia of unknown origin revealed a patient with low CD4 counts (HIV-negative) who was diagnosed with co-infection of CMV and visceral leishmaniasis, despite lacking typical signs like hepatosplenomegaly.
  • Effective treatment with ganciclovir and amphotericin led to symptom resolution, highlighting the importance of recognizing rare presentations and co-infections in immunocompromised patients.
View Article and Find Full Text PDF

[Viral retinitis].

J Fr Ophtalmol

December 2024

Service d'ophtalmologie, Sorbonne université, CHU Pitié-Salpêtrière, Paris, France.

Viruses belonging to the herpes family group, including HSV (herpes simplex virus) 1 and 2, VZV (varicella zoster virus) and CMV (cytomegalovirus) are the leading causes of necrotizing retinitis. These viral retinal necroses generally manifest in three forms, depending on the patient's immune status: acute retinal necrosis (ARN), progressive outer retinal necrosis (PORN) and CMV retinitis. Although specific, effective drug treatments are available today, early treatment initiation is essential to avoid sight-threatening complications.

View Article and Find Full Text PDF

Cytomegalovirus Retinitis Response in a Child Treated with Systemic Maribavir.

Ophthalmology

November 2024

Department of Ophthalmology, University of Washington, Seattle, Washington; Division of Ophthalmology, Seattle Children's Hospital, Seattle, Washington.

View Article and Find Full Text PDF

Retinal detachment and mortality in patients with cytomegalovirus retinitis: A multicenter study in taiwan.

Graefes Arch Clin Exp Ophthalmol

October 2024

Department of Ophthalmology, Linkou Medical Center, Chang Gung Memorial Hospital, No. 5, Fu Shin St, Kuei-Shan, Taoyuan, 333, Taiwan.

Article Synopsis
View Article and Find Full Text PDF
Article Synopsis
  • Cytomegalovirus (CMV) chronic retinal necrosis (CRN) is a rare infection that affects mildly immunocompromised individuals and is treated with ganciclovir, but resistance can develop.
  • An 80-year-old woman with rheumatoid arthritis experienced blurry vision and was diagnosed with retinitis caused by CMV, initially treated with ganciclovir, but later switched to foscarnet and other medications due to resistance.
  • The case highlights the potential increase in CMV CRN cases due to rising use of mild immunosuppressive therapies, and suggests that using combinations like letermovir and leflunomide may be effective alternatives when resistance occurs.
View Article and Find Full Text PDF

Purpose: To explore the potential risk factors for the occurrence of human cytomegalovirus (HCMV) retinitis (CMVR) in allogeneic hematopoietic stem cell transplantation (allo-HSCT) patients.

Methods: This is a retrospective, nested case-control study conducted in hematological patients with CMVR who underwent allo-HSCT. Patients diagnosed with CMVR after allo-HSCT were included as the case group, and those without CMVR were matched by a ratio of 1:2 and were recruited as controls.

View Article and Find Full Text PDF

Cytomegalovirus Retinitis: Clinical Manifestations, Diagnosis and Treatment.

Viruses

September 2024

Department of Ophthalmology and Visual Science, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo 113-8510, Japan.

Cytomegalovirus (CMV) retinitis is the most common eye disease associated with CMV infection in immunocompromised individuals. The CMVR may initially be asymptomatic; however, relatively mild vitreous inflammation at the onset may be an important differential point from other diseases in HIV patients. Fundus photography, CD4 T-cell count, and telemedicine could be used to screen and monitor the high-risk population, particularly in resource-limited regions.

View Article and Find Full Text PDF

Retinal ghost in a patient with Behçet's disease and positive cytomegalovirus PCR in the vitreous sample.

Eur J Ophthalmol

September 2024

The Ocular Immunology and Uveitis Foundation, Waltham, MA, USA.

Article Synopsis
  • * Upon seeking a second opinion, her left eye presented symptoms like floaters and a scotoma, leading to further examinations that identified an atrophic lesion and the presence of CMV.
  • * The findings emphasize the need to consider infections, especially opportunistic ones, in patients with persistent noninfectious uveitis and underlying conditions.
View Article and Find Full Text PDF

Acute Retinal Necrosis Caused by Varicella Zoster Virus and Cytomegalovirus Co-Infection.

Ocul Immunol Inflamm

September 2024

Ophthalmology Division, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Article Synopsis
  • The study reports two cases of acute retinal necrosis (ARN) caused by co-infection of varicella zoster virus (VZV) and cytomegalovirus (CMV), confirmed through polymerase chain reaction (PCR) testing on aqueous fluid.
  • Both patients presented with unilateral panuveitis and underwent empirical therapy; PCR results indicated the dual viral infection, which helped tailor their treatment.
  • Follow-up imaging showed resolution of the active retinitis, highlighting the critical role of PCR in diagnosing and managing complicated ARN cases in various patient backgrounds.*
View Article and Find Full Text PDF

To identify and describe adverse events (AEs) observed with real-world use of the following 3 vitrectomy platforms: Constellation (Alcon), Enhancing Visual Acuity (EVA, Dutch Ophthalmic Research Center), and Stellaris (Bausch + Lomb). All reports submitted to the US Food and Drug Administration's Manufacturer and User Facility Device Experience (MAUDE) database between January 2010 and November 2021 that were associated with the 3 vitrectomy platforms were analyzed. Each report was reviewed for AEs or consequences and the type of complication noted.

View Article and Find Full Text PDF

Prognostic factors associated with acute retinal necrosis treated non-surgically.

Eye (Lond)

December 2024

Ophthalmologic Center of the Second Hospital, Jilin University, Changchun, PR China.

Article Synopsis
  • The study aimed to identify factors affecting visual acuity in acute retinal necrosis (ARN) patients who were treated without surgery, analyzing clinical data from 2010 to 2023.
  • Among 24 patients, the majority were found to have VZV infection, and over half of the eyes showed improvement in vision following antiviral treatment.
  • Key factors linked to poor visual outcomes included retinal detachment, certain types of necrotizing retinitis, and a high neutrophil to lymphocyte ratio, indicating that initial viral load and inflammation levels are crucial for prognosis.
View Article and Find Full Text PDF

Refractory anti-viral resistant CMV retinitis in an immunological nonresponder person living with HIV.

Int J Infect Dis

November 2024

Virology Department, National Reference Centre for Herpesviruses, Pitié-Salpêtrière Hospital, AP-HP, Sorbonne Université, Paris, France; Sorbonne University, INSERM, Pierre Louis Institute of Epidemiology and Public Health (IPLESP), Paris, France.

Article Synopsis
  • A patient with HIV had serious eye problems from a virus called CMV because their medicine wasn't working anymore.
  • Doctors tried different treatments, but they weren't successful, so they combined several medicines to try and help the patient.
  • Even though the new treatment worked for a while, the patient still had to deal with a weakened immune system and problems with the virus coming back.
View Article and Find Full Text PDF
Article Synopsis
  • Cytomegalovirus (CMV) retinitis is a rare condition, especially when it affects the anterior segment of the eye, as seen in a case study of a 72-year-old man who initially suffered from persistent corneal edema.
  • The patient had high intraocular pressure (IOP) and unclear vision, and tests revealed complications like paracentral acute middle maculopathy (PAMM) and vasculopathy.
  • Despite undergoing surgery and antiviral treatment, his vision did not improve, highlighting the challenging nature of diagnosing and treating simultaneous occurrences of hypertensive uveitis and CMV retinitis.
View Article and Find Full Text PDF

Mortality of cytomegalovirus infection among people living with HIV: A retrospective study from a tertiary hospital in Indonesia.

Int J STD AIDS

October 2024

Division of Allergy and Clinical Immunology, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia.

Background: There are still many patients newly diagnosed with HIV at an advanced stage in Indonesia. We aimed to identify factors associated with 1-year mortality among cytomegalovirus (CMV)-infected people living with HIV (PLHIV).

Methods: This retrospective cohort study was carried out at a tertiary-care hospital in Jakarta, Indonesia (January 2017 to December 2022).

View Article and Find Full Text PDF

To assess the long-term safety and clinical outcomes of a ganciclovir intravitreal implant in patients with cytomegalovirus (CMV) retinitis. A retrospective study was performed of patients with CMV retinitis treated with a ganciclovir intravitreal implant. The study included 13 patients (16 eyes) previously treated with a ganciclovir intravitreal implant.

View Article and Find Full Text PDF