A case of herpes simplex virus and cytomegalovirus retinitis coinfection. 2023

Jennifer Lopez, and Hong-Uyen Hua, and Brian C Toy
Roski Eye Institute, Department of Ophthalmology, Keck School of Medicine, University of Southern California, 1450 San Pablo St, 4 Floor, Los Angeles, CA, USA.

OBJECTIVE To describe a case of a 64-year-old male presenting with cytomegalovirus (CMV) and herpes simplex virus (HSV) retinitis coinfection in the setting of Burkitt's lymphoma. METHODS Case report including multimodal imaging and anterior chamber polymerase chain reaction results. RESULTS This case highlights the importance of the clinical exam and maintaining high diagnostic suspicion for viral retinitis in immunocompromised patients. CONCLUSIONS Aqueous fluid PCR can be a useful adjunctive test to distinguish and confirm a diagnosis of viral retinitis. Given the limited sample volume of aqueous biopsy, it is important to prioritize the order of PCR testing based on clinical suspicion of the causative agent.

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