Retinal Vascular Nonperfusion and Retinal Neovascularization as a Consequence of Cytomegalovirus Retinitis and Cryptococcal Choroiditis

Saran, Bruce R.; Pomilla, Paul V.

doi:10.1097/00006982-199616060-00007

Cited by 20 publications

(4 citation statements)

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“…CMV vasculitides occur preponderantly in immunocompromized patients and represent a broad spectrum of diseases involving the gastrointestinal tract [13], skin [12], lung [14], eyes [15], heart [16], kidneys [17], and the central [18] and peripheral [19] nervous systems. CMV has been proposed as an etiological factor in peripheral neuropathies [20±27].…”

Section: Discussionmentioning

confidence: 99%

Cytomegalovirus infection in systemic necrotizing vasculitis: causative agent or opportunistic infection?

Meyer

Hellmich

Kotterba

et al. 2000

Rheumatology International

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We report on a 69-year-old woman who presented with myalgia, hearing impairment, fever, night sweats, weight loss, muscular weakness, paresthesia, hypesthesia, and hypalgesia. Sural nerve biopsy showed demyelinative and axonal polyneuropathy due to necrotizing vasculitis with fibrinoid necrosis. A positive test for antineutrophil cytoplasmic antibodies (ANCA) with a perinuclear immunofluorescence pattern directed against myeloperoxidase was more suggestive of microscopic polyangiitis (MPA) than of polyarteritis nodosa (PAN), the possible differential diagnoses. In addition, positive tests for cytomegalovirus (CMV) antibodies (immunoglobulin (Ig)M and IgG) and the detection of CMV-DNA in sputum specimens by polymerase chain reaction (PCR) were indicative of active CMV infection. Treatment with ganciclovir and anti-CMV immunoglobulin in addition to prednisolone medication for 6 months resulted in rapid improvement of the clinical symptoms without relapse. CMV infection has been described to be related to ANCA-associated vasculitis in non-immunocompromized patients and may be either a causative agent or an opportunistic infection. Identification of a viral etiology in patients with atypical ANCA-associated vasculitides may lead to different, less aggressive treatment approaches, including antiviral therapy.

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Section: Discussionmentioning

confidence: 99%

Cytomegalovirus infection in systemic necrotizing vasculitis: causative agent or opportunistic infection?

Meyer

Hellmich

Kotterba

et al. 2000

Rheumatology International

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“…Ever since the first case of neovascular event complicating CMV necrotizing retinopathy reported by Saran et al in 1996, 19 a dozen of similar cases could be found in the literature at present. 6,7,[20][21][22] Neovascular complications of HIV-related CMV retinitis are rare, but the incidence was recognized to be higher in non-HIV patients.…”

Section: Discussionmentioning

confidence: 81%

Neovascular Complications From Cytomegalovirus Necrotizing Retinopathy in Patients After Haploidentical Hematopoietic Stem Cell Transplantation

Long

Hou²,

Miao³

2020

Retina

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“…2 Other cases in the literature describe patients with retinal vascular nonperfusion associated with co-occurrence of CMV retinitis and cryptococcal choroiditis in a renal transplant patient with CMV retinitis who developed NVD. 3,4 A few case reports discuss patients who specifically developed NVD after HIV-associated CMV retinitis. An early case report from 1991 described two patients with small tufts of NVD, which resolved after treatment of the CMV retinitis.…”

Section: Discussionmentioning

confidence: 99%

Neovascularization of the Optic Disk and Vitreous Hemorrhage After Immune Recovery and Treatment of Cytomegalovirus Retinitis in an Hiv-Positive Patient

Golen

Eichenbaum²

2013

RETINAL Cases &Amp; Brief Reports

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Retinal Vascular Nonperfusion and Retinal Neovascularization as a Consequence of Cytomegalovirus Retinitis and Cryptococcal Choroiditis

Cited by 20 publications

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Cytomegalovirus infection in systemic necrotizing vasculitis: causative agent or opportunistic infection?

Cytomegalovirus infection in systemic necrotizing vasculitis: causative agent or opportunistic infection?

Neovascular Complications From Cytomegalovirus Necrotizing Retinopathy in Patients After Haploidentical Hematopoietic Stem Cell Transplantation

Neovascularization of the Optic Disk and Vitreous Hemorrhage After Immune Recovery and Treatment of Cytomegalovirus Retinitis in an Hiv-Positive Patient

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