Cytomegalovirus infection differential diagnosis: Difference between revisions
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==Overview== | ==Overview== | ||
==Differential Diagnosis of Cytomegalovirus infection== | |||
===Cytomegalovirus Retinitis=== | |||
Cytomegalovirus retinitis must be differentiated from the following infectious causes of retinitis: | |||
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! style="width: 80px; background: #4479BA; text-align: center;" |{{fontcolor|#FFF| Infectious Agent}} | |||
! style="width: 720px; background: #4479BA; text-align: center;" | {{fontcolor|#FFF|Clinical Manifestations}} | |||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" | Cytomegalovirus | |||
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*Physical evidence of a [[Cytomegalovirus (patient information)|cytomegalovirus]] presence in one of both eyes will generally clinical present in the form of [[lesions]], adjacent retinal vessels. | |||
*These [[lesions]] may impinge upon the [[fovea]] and the [[optic nerve]]. Furthermore they are usually discovered in close proximity to both. | |||
*Further extending lesions may be present in close proximity to the vortex veins as well as the [[ora serrata]].<ref name="ret phys">Infectious Retinitis: A Review. YACHNA AHUJA, MD · STEVEN M. COUCH, MD · RAYMUND R. RAZONABLE, MD · SOPHIE J. BAKRI, MD. http://www.retinalphysician.com/articleviewer.aspx?articleID=102293. Accessed April 13, 2016. </ref> | |||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" |Tuberculosis | |||
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*Caseating [[Granuloma|granulomas]] | |||
*Multiple [[choroidal]] tubercles- small grayish nodules located on the posterior pole of the eye | |||
*Yellow [[necrotizing]] [[granulomas]]<ref name="ret phys">Infectious Retinitis: A Review. YACHNA AHUJA, MD · STEVEN M. COUCH, MD · RAYMUND R. RAZONABLE, MD · SOPHIE J. BAKRI, MD. http://www.retinalphysician.com/articleviewer.aspx?articleID=102293. Accessed April 13, 2016. </ref>| | |||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" |Fungal | |||
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====''Candida albicans''==== | |||
*Visibly hazy [[Vitreous floaters|vitreous]] | |||
*White circumscribed [[lesions]]<ref name="ret phys">Infectious Retinitis: A Review. YACHNA AHUJA, MD · STEVEN M. COUCH, MD · RAYMUND R. RAZONABLE, MD · SOPHIE J. BAKRI, MD. http://www.retinalphysician.com/articleviewer.aspx?articleID=102293. Accessed April 13, 2016. </ref> | |||
====''Aspergillus fumigatus''==== | |||
*Yellow subretinal infiltrates | |||
*Retinal infiltrates | |||
*Fungal [[hyphae]] are located throughout the eye - suggestive of pulmonary involvement<ref name="ret phys">Infectious Retinitis: A Review. YACHNA AHUJA, MD · STEVEN M. COUCH, MD · RAYMUND R. RAZONABLE, MD · SOPHIE J. BAKRI, MD. http://www.retinalphysician.com/articleviewer.aspx?articleID=102293. Accessed April 13, 2016. </ref> | |||
====''Cryptococcus neoformans''==== | |||
*Yellowish-white lesions located on the [[fundus]] of the eye | |||
*Mutton-fat keratic [[precipitates]]<ref name="ret phys">Infectious Retinitis: A Review. YACHNA AHUJA, MD · STEVEN M. COUCH, MD · RAYMUND R. RAZONABLE, MD · SOPHIE J. BAKRI, MD. http://www.retinalphysician.com/articleviewer.aspx?articleID=102293. Accessed April 13, 2016. </ref> | |||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" |Toxoplasmosis | |||
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*Localized areas of infiltrate | |||
*Active [[lesions]] are adjacent to initial scarring<ref name="ret phys">Infectious Retinitis: A Review. YACHNA AHUJA, MD · STEVEN M. COUCH, MD · RAYMUND R. RAZONABLE, MD · SOPHIE J. BAKRI, MD. http://www.retinalphysician.com/articleviewer.aspx?articleID=102293. Accessed April 13, 2016. </ref> | |||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" |Syphilis | |||
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*[[Hemorrhagic]] areas | |||
*Flare visible in anterior and posterior portions<ref name="ret phys">Infectious Retinitis: A Review. YACHNA AHUJA, MD · STEVEN M. COUCH, MD · RAYMUND R. RAZONABLE, MD · SOPHIE J. BAKRI, MD. http://www.retinalphysician.com/articleviewer.aspx?articleID=102293. Accessed April 13, 2016. </ref> | |||
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Revision as of 15:11, 16 May 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aravind Kuchkuntla, M.B.B.S[2]
Overview
Differential Diagnosis of Cytomegalovirus infection
Cytomegalovirus Retinitis
Cytomegalovirus retinitis must be differentiated from the following infectious causes of retinitis:
Infectious Agent | Clinical Manifestations |
---|---|
Cytomegalovirus |
|
Tuberculosis |
|
Fungal |
Candida albicansAspergillus fumigatus
Cryptococcus neoformans
|
Toxoplasmosis | |
Syphilis |
|