ISSN: 1300-0365
İndekslendiği Dizinler: Türk Tıp Dizini
Dil: Türkçe
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Cytomegalovirus (cmv) Retinitis In A Patient With Nonhodgkin Lymphoma
Dr. Aslı Gamze ŞENER,a Dr. Bahriye PAYZIN,b Dr. İlhan AFŞAR,a Dr. Aras SAKLAMAZ,c
Dr. Metin TÜRKERa
ave Klinik Mikrobiyoloji Laboratuvarı, bHematoloji Kliniği, cGöz Kliniği, İzmir Atatürk Eğitim ve Araştırma Hastanesi, İZMİR
Because of the immunosuppressive therapy applications used in reticuloendothelial malignancy treatments, opportunistic infections are often seen. Cytomegalovirus (CMV) infection is one of them. A nonhodgkin lymphoma patient with CMV retinitis is presented in this paper. CMV retinitis is rarely seen in patients with lymphoma. Clinically it is difficult to differentiate this disease from intraocular lymphoma.
A 29 years old man had visual complaints during the chemotherapy which he received for nonhodgkin lymphoma. Since the patient was thought to have CMV retinitis based on the clinical features and MRI findings, we also examined the serum CMV IgG, IgM and CMV DNA levels to support the diagnosis. Determination of the CMV antibodies in serum and high CMV DNA level in cerebrospinal fluid specimen, increased the probability of the CMV retinitis diagnosis. The patient was started on intravenous ganciclovir treatment. Visual complaints and retinal lesions of the patient ameliorated. Unfortunately, the patient died due to primary disease.Keywords: Lymphoma, non-hodgkin; cytomegalovirus retinitisTurkiye Klinikleri J Ophthalmol 2007, 16:275-278
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