21 May 2009
Bilateral acute retinal necrosis associated with neuroinfection in patient after renal transplantation
S Szczepanik, J Brydak-Godowska, M Ciszek, D Białas, M Grzeszczyk, D Strzelecki, D KęcikAnn Transplant 2009; 14(1): 73-73 :: ID: 880468
Abstract
Background: Acute retinal necrosis (ARN) is characterized the triad of symptoms: acute vitritis, peripheral necrotizing retinitis and vasculitis in an otherwise healthy individual. We observed a case of 54 years old woman with bilateral acute retinal necrosis associated with neuroinfection. Her past medical history was renal transplantation, hypertension and aortic stenosis. Ocular complications in the transplant recipients such as cataract, hypertensive retinopathy, glaucoma or opportunistic chorioretinal infections are known. However, coexistence of ARN and neuroinfection is extremely rare.
Material/Methods: Observational case report. Biochemical tests, lumbar puncture, eye ultrasonography and MRI of the brain were performed.
Results: Blood and cerebrospinal fluid examination revealed elevated anti-HSV IgG antibody titter. MRI T2 scan revealed inflammatory changes in white matter of right hemisphere. Patient was treated with acyklovir, itrakonazol, metronidazol and ciprofloxacin systemically for 3 weeks. Retinal detachments were observed in both eyes.
Conclusons: Acute retinal necrosis can be the only symptom of Herpesvirus
reactivation in patients after organ transplantation.
Keywords: Immunosuppression, Kidney Transplantation, viral infections
In Press
18 Mar 2024 : Original article
Does Antibiotic Use Increase the Risk of Post-Transplantation Diabetes Mellitus? A Retrospective Study of R...Ann Transplant In Press; DOI: 10.12659/AOT.943282
20 Mar 2024 : Original article
Transplant Nephrectomy: A Comparative Study of Timing and Techniques in a Single InstitutionAnn Transplant In Press; DOI: 10.12659/AOT.942252
28 Mar 2024 : Original article
Association Between FEV₁ Decline Rate and Mortality in Long-Term Follow-Up of a 21-Patient Pilot Clinical T...Ann Transplant In Press; DOI: 10.12659/AOT.942823
02 Apr 2024 : Original article
Liver Transplantation from Brain-Dead Donors with Hepatitis B or C in South Korea: A 2014-2020 Korean Organ...Ann Transplant In Press; DOI: 10.12659/AOT.943588
Most Viewed Current Articles
05 Apr 2022 : Original article
Impact of Statins on Hepatocellular Carcinoma Recurrence After Living-Donor Liver TransplantationDOI :10.12659/AOT.935604
Ann Transplant 2022; 27:e935604
12 Jan 2022 : Original article
Risk Factors for Developing BK Virus-Associated Nephropathy: A Single-Center Retrospective Cohort Study of ...DOI :10.12659/AOT.934738
Ann Transplant 2022; 27:e934738
22 Nov 2022 : Original article
Long-Term Effects of Everolimus-Facilitated Tacrolimus Reduction in Living-Donor Liver Transplant Recipient...DOI :10.12659/AOT.937988
Ann Transplant 2022; 27:e937988
15 Mar 2022 : Case report
Combined Liver, Pancreas-Duodenum, and Kidney Transplantation for Patients with Hepatitis B Cirrhosis, Urem...DOI :10.12659/AOT.935860
Ann Transplant 2022; 27:e935860