End-stage cytomegalic inclusions retinitis and disseminated intravascular coagulation

Areas of necrosis of the retinal pigment epithelium developed in each eye of a 40-year-old renal transplant recipient. Myocardial infarctions supervened and eventually caused his death. Autopsy demonstrated cytomegalic inclusion bodies in the lungs and liver, and areas of retinal scarring and fibrin thrombi in the choriocapillaris of both eyes. The ocular features likely resulted from the resolved retinitis and preterminal disseminated intravascular coagulation.