Cytomegalovirus retinitis after heart transplant: a case report.

Abstract

A man aged 51 years was found to have cytomegalovirus (CMV) retinitis in his right eye one year after heart transplant surgery. Ophthalmoscopy revealed a patch yellowish-white, granular, necrotic lesions admixed with flame-shaped intraretinal hemorrhage over the temporal lower retina. Anti-CMV IgM antibody was positive. The visual acuity improved from 20/200 to 20/20 within one month by CMV hyperimmune globulin therapy (cytotect, Biotest, FRG, 2 ml/kg every other day for two weeks). The retinal necrosis healed with permanent scar tissue formation. No other complications were noted after a fifteen month follow up. In this study, the clinical findings and fundus picture were presented, along with previous literature reviewed.

• Authors: P I Chou, H Lee, F Y Lee
• Journal: Zhonghua yi xue za zhi = Chinese medical journal; Free China ed (Zhonghua Yi Xue Za Zhi (Taipei)) Vol. 57 Issue 4 Pg. 310-3 (Apr 1996) ISSN: 0578-1337 [Print] China (Republic : 1949- )
• PMID: 8705887 (Publication Type: Case Reports, Journal Article)

Topics

• Cytomegalovirus Infections (etiology)
• Heart Transplantation (adverse effects)
• Humans
• Male
• Middle Aged
• Retinitis (etiology)