Case 7 Diagnosis

Cytomegalovirus (CMV) retinitis

Differential Diagnosis

Toxoplasma gondii: clinically indistinct from CMV retinitis although vitreous reaction is common due to higher CD4 counts and less immunosuppression than CMV retinitis
Pneumocystis carinii choroidopathy: signs include multifocal, round, yellow lesions in the choroid
Noninfectious retinal microvasculopathy, also known as HIV retinopathy: signs are similar to diabetic retinopathy and include cotton-wool spots, intraretinal hemorrhages and microaneurysms

Last Modified: Friday, 27-Jun-2008 10:35:56 EDT