Tick- borne infection revealing human immunodeficiency virus (HIV) positivity in a young adult
American Journal of Ophthalmology Case Reports, cilt.16, 2019 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 16
- Basım Tarihi: 2019
- Doi Numarası: 10.1016/j.ajoc.2019.100559
- Dergi Adı: American Journal of Ophthalmology Case Reports
- Derginin Tarandığı İndeksler: Scopus
- Anahtar Kelimeler: Bartonella, Chorioretinitis, HIV, Occlusive vasculitis, Ocular, Retina, Rickettsia, Tick-borne disease
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
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.