scholarly journals When HIV Immunodeficiency and Heterochromia Confuse the Issue: Recurrent Zoster Uveitis Mistaken for Fuchs’ Uveitis

Author(s):  
Ioannis Papasavvas ◽  
Bruno Jeannin ◽  
Carle Pierre Herbort

Purpose: We report a case with iris heterochromia misdiagnosed as Fuchs’ uveitis which finally turned out to be a unilateral zoster uveitis in an HIV-positive patient. Case Report: A 45-year old patient was seen for a recurrent right anterior uveitis treated with prednisolone 1% drops BID. The iris of the right eye was hypochromic and atrophic and several small granulomatous keratic precipitates (KPs) were present. After discontinuation of corticosteroid drops, severe uveitis developed with mutton-fat KPs, and laser flare photometry (LFP) increased from 20 to 50.3 ph/ms. He had presented with right zoster ophthalmicus two years earlier and HIV-serology revealed to be positive. Conclusion: Iris heterochromia is not a good disease-defining criterion for Fuch’s uveitis even when typical KPs are present and can lead to misdiagnosis. More reliable criteria including stellate KPs, low LFP values, absence of synechiae, vitreitis, and disc hyperfluorescence, all absent in this case, should be sought to confirm or exclude the diagnosis.

2006 ◽  
Vol 10 (1) ◽  
pp. 55-58 ◽  
Author(s):  
Eduardo José Bellotto Monteiro ◽  
Daiane Caron ◽  
Carlos Alberto Balda ◽  
Marcello Franco ◽  
Aparecido Bernardo Pereira ◽  
...  

2004 ◽  
Vol 46 (3) ◽  
pp. 169-170 ◽  
Author(s):  
Maria Cristina S. Lourenço ◽  
Eliane Falavina M. dos Reis ◽  
Rogério Valls ◽  
Marise Dutra Asensi ◽  
Ernesto Hofer

We described a case of salmonellosis in a 33-year old HIV-infected patient. The patient presented oral and esophageal candidiasis, intense epigastric and retrosternal pain. During the physical examination he was hypochloraemic, acyanotic, hypohydrated, anicteric and afebrile. Admittance laboratorial tests indicated: red cells 3.6 millions/mm³; hemoglobin, 10.1 g/dL; leukocyte count, 3,000/mm³, with 1% of eosinophils, 14% of non-segmented and 53% of segmented neutrophils and 31% of lymphocytes. The blood culture was positive for Salmonella enterica subsp houtenae serogroup O:16. This is probably the first human report of bacteremia due to Salmonella enterica subsp houtenae in Brazil associated to HIV-infected patient.


Author(s):  
RACHEL LAMARCK ◽  
ANDERSON MAURICIO PAIVA E COSTA ◽  
RAIRA DE BRITO SILVA ◽  
SAMEH BRGLAH ◽  
LIGIA AKIKO NINOKATA MIYAHARA ◽  
...  

1997 ◽  
Vol 64 (1) ◽  
pp. 134-135
Author(s):  
E. Gastaldi ◽  
S. Benvenuti ◽  
B. Mennini ◽  
M. Iacoviello ◽  
M. Caviglione ◽  
...  

The Authors report a case of Kaposi's sarcoma presenting on the glans penis only in a non-HIV positive patient, who had not been treated with immuno-suppressive drugs. In our experience and according to a review of specific literature, choice treatment would seem to be a radiotherapeutic approach followed by partial penectomy in the event of recurrence.


2011 ◽  
Vol 44 (5) ◽  
pp. 641-643 ◽  
Author(s):  
Renata Félix da Justa ◽  
Adriana Banhos Carneiro ◽  
Jorge Luiz Nobre Rodrigues ◽  
Andréia Cavalcante ◽  
Evelyne Santana Girão ◽  
...  

It is a report of disseminated bacillary angiomatosis (BA) in a 23-year-old female patient, who is HIV-positive and with fever, weight loss, hepatomegaly, ascites, and papular-nodular skin lesions. The clinical and diagnostic aspects involved in the case were discussed. Bacillary angiomatosis must always be considered in the diagnosis of febrile cutaneous manifestations in AIDS.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Xin Che ◽  
Jing Jiang ◽  
Yiwen Qian ◽  
Qingjian Li ◽  
Yu Zhang ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document