Abstract
Purpose: To describe a patient whose retinal findings suggestive of tick-borne disease but evaluations led to early diagnosis and treatment of human immunodeficiency virus (HIV) infection. Observation: A young patient presented with bilateral uveitis, branch retinal artery occlusion and retinal findings suggestive of infective/inflammatory etiology. Laboratory evaluations revealed that the patient was positive for co-infection with Rickettsia conorii and Bartonella henselae. On further investigation, the patient tested positive for HIV infection. The patient was treated with doxycycline as well as highly active anti-retroviral therapy (HAART) to control both opportunistic infections as well as HIV infection. Conclusion and Importance: Patients with HIV infection are at risk for multiple, simultaneous opportunistic co-infections, including those with tick-borne diseases.
Original language | English |
---|---|
Article number | 100559 |
Journal | American Journal of Ophthalmology Case Reports |
Volume | 16 |
DOIs | |
State | Published - Dec 2019 |
Keywords
- Bartonella
- Chorioretinitis
- HIV
- Occlusive vasculitis
- Ocular
- Retina
- Rickettsia
- Tick-borne disease