Gharai Sujit, Venkatesh Pradeep, Garg Satpal, Sharma Surendra K, Gharai Prapti Ghosh, Vohra Rajpal
All India Institute of Medical Sciences, New Delhi, India.
AIDS Read. 2009 Jun-Jul;19(6):241-4.
We report a rare case of isolated unilateral acute retinal necrosis syndrome without any history of associated herpes zoster or other conditions attributed to HIV infection as the initial manifestation of HIV infection. A 30-year-old man presented with a history of sudden diminished vision in the right eye with no apparent predisposing factors. Examination revealed right eye acute retinal necrosis. All laboratory test results were normal except the patient tested positive for HIV. This case of an atypical ophthalmic manifestation as initial presentation of HIV infection highlights the need for increased index of suspicion for HIV infection in young patients with acute retinal necrosis syndrome.
我们报告了一例罕见的孤立性单侧急性视网膜坏死综合征病例，该患者无带状疱疹病史或其他归因于HIV感染的疾病史，而以HIV感染为首发表现。一名30岁男性，无明显诱发因素，出现右眼视力突然下降的病史。检查发现右眼急性视网膜坏死。除HIV检测呈阳性外，所有实验室结果均正常。这例以非典型眼部表现为HIV感染首发症状的病例凸显了对于患有急性视网膜坏死综合征的年轻患者，需提高对HIV感染怀疑指数的必要性。
