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Multimodal Imaging in AIDS-Related Ocular Cryptococcosis

机译:艾滋病相关的眼层阴茎病变中的多模式成像

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Purpose . To report multimodal imaging findings in two cases of AIDS-related cryptococcal chorioretinitis associated with uveitis and vasculitis. Methods . Findings on clinical examination, color fundus photography, fluorescein and indocyanine green angiographies, and optical coherence tomography. Patients . Both patients were diagnosed with Cryptococcus neoformans meningitis in the setting of untreated HIV infection with CD4+ T cell . Ocular manifestations occurred during the course of the antifungal therapy for meningitis. Results . In both cases, fundus showed vitritis. Fluorescein angiography allowed the characterization of vasculitis lesions, and indocyanine green angiography indicated choroidal involvement. In combination with optical coherence tomography, ICG and FA allowed the assessment of treatment response. Conclusion . These two cases reveal the potential of C. neoformans to infect almost all ocular structures and the critical role of multimodal imaging in baseline evaluation and in the follow-up of patients.
机译:目的 。报告与葡萄膜炎和血管炎相关的两种艾滋病相关的隐性阴离子胞菌胆大学炎的多峰成像发现。方法 。调查结果对临床检查,彩色眼底摄影,荧光素和吲哚菁绿色血迹,以及光学相干断层扫描。耐心 。在用CD4 + T细胞的未经处理的HIV感染的情况下被诊断出患有隐睾脑膜炎脑膜炎的两种患者。在脑膜炎抗真菌治疗过程中发生眼部表现。结果 。在这两种情况下,眼底都显示伏特膜炎。荧光素血管造影允许血管炎病变的表征,吲哚菁绿色血管造影表明脉络膜受累。结合光学相干断层扫描,ICG和FA允许评估治疗响应。结论 。这两种情况揭示了C. neoformans的潜力,以感染几乎所有眼部结构以及多式联运成像在基线评估中的关键作用以及患者的后续行动。

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