Singh Pawan Kumar, Dayama Aniruddha Purushottam, Maiwall Rakhi, Sehgal Vineet, Venkatesh Pradeep, Mishra Pravas Chandra, Seth Tulika, Mahapatra Manoranjan
Department of Hematology, All India Institute of Medical Sciences [AIIMS], Ansari Nagar, New Delhi, 110029 India.
Department of Hepatology, Institute of Liver and Biliary Sciences [ILBS], Vasant Kunj, New Delhi, India.
Indian J Hematol Blood Transfus. 2014 Sep;30(Suppl 1):154-8. doi: 10.1007/s12288-013-0305-9. Epub 2013 Dec 6.
Forty-five years old male, a known case of T cell acute lymphoblastic leukemia (ALL) on maintenance therapy presented with bilateral painless progressive diminution of vision. Evaluation revealed cytomegalovirus (CMV) retinitis with low CD4 counts. CMV retinitis is usually seen in HIV disease or in post allogenic stem cell transplant recipients. CMV retinitis occurring in ALL maintenance phase is very rare. The disease is aggressive and shows incomplete response to medical therapy.
一名45岁男性,已知患有T细胞急性淋巴细胞白血病(ALL),正在接受维持治疗,出现双侧无痛性进行性视力减退。评估显示巨细胞病毒(CMV)视网膜炎且CD4计数低。CMV视网膜炎通常见于艾滋病或异基因造血干细胞移植受者。ALL维持期发生CMV视网膜炎非常罕见。该疾病具有侵袭性,对药物治疗反应不完全。