Open AccessBilateral arterial occlusions masking retinitis in a HIV-positive male
Author(s) -
Kalpana Babu,
Bhagya Sudheer,
Krishna R Murthy
Publication year - 2018
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/ijo.ijo_563_17
Subject(s) - medicine , ophthalmology , retinal artery occlusion , retinitis , azithromycin , branch retinal artery occlusion , human immunodeficiency virus (hiv) , occlusion , central retinal artery occlusion , fluorescein angiography , retinal , doxycycline , uveitis , surgery , immunology , virus , human cytomegalovirus , biology , microbiology and biotechnology , antibiotics
We report an interesting case of 36-year-old HIV-positive male with uveitis, cilioretinal artery occlusion in OD, and superotemporal branch retinal artery occlusion in OS. Hypercoagulability, cardiovascular, and rheumatologic workups were unremarkable. Aqueous taps were negative for toxoplasma, viruses, and MTb by multiplex polymerase chain reaction. Patches of retinitis were seen on clearing of retinal edema. Serology was positive for toxoplasma and rickettsia. Management included doxycycline, azithromycin, bactrim DS, and oral steroids. Vision improvement to 6/60 and 6/24 in OD and OS refer to the right eye and left eye, respectively, were noted at 4-month follow-up. Infections should be considered in arterial occlusions associated with inflammation in HIV-positive individuals.