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  • Title: [Cryptococcal choroiditis in a patient with acquired immunodeficiency syndrome].
    Author: Fernández González MC, Pérez Blázquez E, Gálvez Ruiz A, Bonales Daimiel JA.
    Journal: Arch Soc Esp Oftalmol; 2003 Feb; 78(2):103-6. PubMed ID: 12647251.
    Abstract:
    PURPOSE/METHODS: We report the case of a 31 year old male with presumed cryptococcal choroiditis associated with cryptococcal meningitis and AIDS. Multiple yellowish-whitish small choroidal lesions, retinal hemorrhages and cotton-wool spots appeared in the posterior pole associated with vision loss. We also carried out differential diagnosis with other frequent diseases and a review of the treatments. RESULTS/CONCLUSIONS: Cryptococcus neoformans is an opportunistic fungus with a predilection for infecting the meninges in patients with Acquired Immunodeficiency Syndrome AIDS (10%). Ocular manifestation usually includes cranial nerve palsies or papilledema secondary to increased intracranial pressure. Cryptococcal choroiditis is less frequent (5% of patients with meningitis).
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