A Case of Cryptococcal Chorioretinitis in a Renal Transplant Patient.
- Author:
In Teak KIM
1
;
Jung Yeal KIM
;
Hyun Gue KIM
Author Information
1. Department of Ophthalmology, School of Medicine, Kyungpook National University, Korea. itkim@knu.ac.kr
- Publication Type:Case Report
- Keywords:
Cryptococcal chorioretinitis;
Renal transplant patient
- MeSH:
Adult;
Amphotericin B;
Chorioretinitis*;
Cryptococcus;
Diagnosis;
Fever;
Flucytosine;
Humans;
Male;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
2002;43(5):922-926
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a case of cryptococcal chorioretinitis in the renal transplant patient. MATERIALS AND METHODS: A 31-year old male patient was admitted with visual disturbance, high fever and general weakness. On initial evaluation, visual acuity was 0.9 in the right eye and 0.3 in the left. On fundus exam, right eye showed the lesions which were expanded into posterior pole and equator and left eye showed several yellow white lesions which were larger than optic disc, and some of them were near the fovea. RESULT: Cryptococcus grew in CSF. The ocular diagnosis was cryptococcal chorioretinitis and intra-venous amphotericin B and oral flucytosine were given. In spite of 2-month treatment, the visual acuity of left eye was 0.04 due to the expansion of the lesion toward fovea. The patient refused the treatment after 4 months of treament, and he expired 1 month later.
