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Two Ocular Infections During Conventional Chemotherapy in a Patient with Acute Lymphoblastic Leukemia: A Case Report

Overview
Journal Case Rep Oncol
Publisher Karger
Specialty Oncology
Date 2010 Aug 27
PMID 20740203
Citations 4
Authors
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Abstract

Viral retinitis due to cytomegalovirus (CMV) infection is rare in patients with acute leukemia who did not receive hematopoietic stem cell transplantation. We report a case of CMV retinitis that developed in a 49-year-old patient with acute lymphoblastic leukemia. The patient was treated with salvage chemotherapy using a hyper-CVAD regimen and did not receive hematopoietic stem cell transplantation. The incidence of CMV retinitis in this subgroup of patients is not described in literature. He had a very complicated course during chemotherapy but was successfully treated, with preservation of visual acuity, and to date he is in complete remission. Interestingly, prior to CMV retinitis, the patient had been diagnosed with and treated for candida retinitis. This case shows the importance of eye examination and care in patients diagnosed with hematological malignancies.

Citing Articles

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An Interesting Case of CMV Retinitis in a Case of ALL on Maintenance Therapy.

Singh P, Dayama A, Maiwall R, Sehgal V, Venkatesh P, Mishra P Indian J Hematol Blood Transfus. 2014; 30(Suppl 1):154-8.

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Cytomegalovirus Retinitis in an ALL Child during Maintenance Therapy Treated Successfully with Intravenous Ganciclovir.

Celiker H, Karaaslan A, Kepenekli Kadayifci E, Atici S, Soysal A, Kazokoglu H Case Rep Ophthalmol Med. 2014; 2014:294238.

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Outcome of cytomegalovirus retinitis in immunocompromised patients without Human Immunodeficiency Virus treated with intravitreal ganciclovir injection.

Agarwal A, Kumari N, Trehan A, Khadwal A, Dogra M, Gupta V Graefes Arch Clin Exp Ophthalmol. 2014; 252(9):1393-401.

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