Title |
Cytomegalovirus Papillitis in an Immunocompetent Patient |
Creator |
De Silva, SR; Chohan, G; Jones, D; Hu, M |
Affiliation |
Department of Neurology, Radcliffe Infirmary, Oxford, United Kingdom. samdesilva@doctors.org.uk |
Abstract |
A 22-year-old immunocompetent woman who presented with a 3-week history of fever, headache, and visual loss and was found to have subnormal visual acuity and bilateral optic disc swelling. Serum cytomegalovirus (CMV) IgM and IgG and polymerase chain reaction results were positive, indicating an acute CMV infection. No cause of immunocompromise was found. After treatment with intravenous ganciclovir, the papillitis and systemic CMV illness resolved with no residual deficit. This is the first reported case of primary CMV papillitis to be successfully treated with ganciclovir alone. |
Subject |
Adult; Antigens, Viral, analysis; Antigens, Viral, blood; Antiviral Agents, administration & dosage; Cytomegalovirus Infections, complications; Cytomegalovirus Infections, drug therapy; Female; Ganciclovir, administration & dosage; Humans; Immunocompetence, immunology; Optic Disk, pathology; Optic Disk, physiopathology; Optic Disk, virology; Papilledema, pathology; Papilledema, physiopathology; Papilledema, virology; RNA, Viral, analysis; RNA, Viral, blood; Treatment Outcome |
Date |
2008-06 |
Format |
application/pdf |
Publication Type |
Journal Article |
Collection |
Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
Publisher |
Lippincott, Williams & Wilkins |
Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
Rights Management |
© North American Neuro-Ophthalmology Society |
Setname |
ehsl_novel_jno |
ID |
225689 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6r246hr/225689 |