J Int Assoc Physicians AIDS Care (Chic). 2011 Mar-Apr;10(2):76-8. Epub 2011 Mar 2. Monolateral visual loss due to cryptococcal meningitis. De Socio GV, Bernini L, Menduno P, Pitzurra L, Leone F, Baldelli F. SourceDepartment of Infectious Diseases "Santa Maria della Misericordia" Hospital, University of Perugia, Perugia Italy, giuseppedesocio@yahoo.it. Abstract A case of retrobulbar monolateral optic neuritis due to disseminated Cryptococcosis in a 32-year-old man with a new diagnosis of AIDS is described in the era of combination antiretroviral therapy (cART). The patient presented a monolateral rapid visual loss on day 7 of a liposomal amphotericin B treatment. Neuroradiological imaging showed the presence of retrobulbar neuritis. After starting ART and intravenous metilprednisolone 1 g daily for 3 days, we assisted to a progressive improvement of visual acuity. At 3 months of follow-up, complete clinical resolution was obtained. In this case, in the presence of effective antiretroviral and antifungal treatment, a short course of metilprednisolone was a safe therapy. PMID: 21368010
Monolateral visual loss due to cryptococcal meningitis.
PITZURRA, Lucia;BALDELLI, Franco
2011
Abstract
J Int Assoc Physicians AIDS Care (Chic). 2011 Mar-Apr;10(2):76-8. Epub 2011 Mar 2. Monolateral visual loss due to cryptococcal meningitis. De Socio GV, Bernini L, Menduno P, Pitzurra L, Leone F, Baldelli F. SourceDepartment of Infectious Diseases "Santa Maria della Misericordia" Hospital, University of Perugia, Perugia Italy, giuseppedesocio@yahoo.it. Abstract A case of retrobulbar monolateral optic neuritis due to disseminated Cryptococcosis in a 32-year-old man with a new diagnosis of AIDS is described in the era of combination antiretroviral therapy (cART). The patient presented a monolateral rapid visual loss on day 7 of a liposomal amphotericin B treatment. Neuroradiological imaging showed the presence of retrobulbar neuritis. After starting ART and intravenous metilprednisolone 1 g daily for 3 days, we assisted to a progressive improvement of visual acuity. At 3 months of follow-up, complete clinical resolution was obtained. In this case, in the presence of effective antiretroviral and antifungal treatment, a short course of metilprednisolone was a safe therapy. PMID: 21368010I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
