Munro Monique, Yadavalli Tejabhiram, Fonteh Cheryl, Arfeen Safa, Lobo-Chan Ann-Marie
Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, IL 60612, USA.
Department of Microbiology and Immunology, University of Illinois at Chicago, Chicago, IL 60612, USA.
Microorganisms. 2019 Dec 28;8(1):55. doi: 10.3390/microorganisms8010055.
Cytomegalovirus retinitis (CMVR) is a severe, vision-threatening disease that primarily affects immunosuppressed patients. CMVR is the most common ocular opportunistic infection in human immunodeficiency virus (HIV) infected patients and is the leading cause of blindness in this group; however, the incidence of CMVR in HIV patients has dramatically decreased with antiretroviral therapy. Other causes of immunosuppression, including organ transplantation, hematologic malignancies, and iatrogenic immunosuppression, can also lead to the development of CMVR. Herein, we describe the pathogenesis of CMVR and compare clinical features, epidemiology, and risk factors in HIV and non-HIV infected individuals with CMVR.
巨细胞病毒性视网膜炎(CMVR)是一种严重的、威胁视力的疾病,主要影响免疫抑制患者。CMVR是人类免疫缺陷病毒(HIV)感染患者中最常见的眼部机会性感染,也是该群体失明的主要原因;然而,随着抗逆转录病毒疗法的应用,HIV患者中CMVR的发病率已显著下降。其他免疫抑制原因,包括器官移植、血液系统恶性肿瘤和医源性免疫抑制,也可导致CMVR的发生。在此,我们描述CMVR的发病机制,并比较HIV感染和未感染CMVR个体的临床特征、流行病学及危险因素。