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MULTIFOCAL RETINAL INFILTRATES WITH PHLEBITIS AND OPTIC NEUROPATHY IN AN HIV-POSITIVE PEDIATRIC PATIENT
Sundeep K Kasi1, Robin A Vora, Taliva Martin
1*Department of Ophthalmology, University of California San Francisco, San Francisco, California; †Department of Ophthalmology, Kaiser Permanente, Oakland, California; ‡Department of Ophthalmology, California Pacific Medical Center, San Francisco, California; §Department of Ophthalmology, Stanford University School of Medicine, Stanford, California; ¶The Francis I. Proctor Foundation, UCSF School of Medicine, San Francisco, California; and **West Coast Retina Medical Group, San Francisco, California.
Purpose:
To describe an unusual presentation of bilateral HIV-associated multifocal retinal infiltrates with phlebitis and optic neuropathy in a pediatric patient from Zimbabwe, Africa.
Methods:
Retrospective case report of a 15-year-old boy from Zimbabwe, Africa.
Results:
The patient was found to have bilateral vitritis, multifocal retinitis with phlebitis, and optic neuropathy in the setting of previously unrecognized HIV infection. Vision improved and the clinical findings resolved after treatment with intravenous corticosteroids and highly active retroviral therapy (HAART).
Conclusion:
The authors describe the occurrence and treatment of bilateral, HIV-associated multifocal retinal infiltrates with phlebitis and HIV-associated optic neuropathy in a pediatric patient from Zimbabwe, Africa.
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