Abstract
The authors describe a case of severe CMV retinitis in a young adult AIDS patient who recovered following first a course of ganciclovir and then HAART. Six months after the initial episode while still under successful HAART, the patient developed an acute episode of retinitis despite a persistent significant improvement in the immunological picture and a very low level of CMV reactivation. The acute episode can be related to an enhanced individual reactivity to minor CMV replication.
MeSH terms
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AIDS-Related Opportunistic Infections / etiology*
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Acute Disease
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Adult
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Antiretroviral Therapy, Highly Active*
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Antiviral Agents / therapeutic use
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CD4 Lymphocyte Count
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Cidofovir
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Cytomegalovirus Retinitis / etiology*
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Cytosine / analogs & derivatives
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Cytosine / therapeutic use
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Drug Therapy, Combination
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Ganciclovir / therapeutic use
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HIV Infections / drug therapy*
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Humans
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Indinavir / administration & dosage
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Lamivudine / administration & dosage
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Male
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Organophosphonates*
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Organophosphorus Compounds / therapeutic use
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Zidovudine / administration & dosage
Substances
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Antiviral Agents
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Organophosphonates
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Organophosphorus Compounds
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Lamivudine
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Zidovudine
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Indinavir
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Cytosine
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Cidofovir
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Ganciclovir