Co-Infection in HIV positive patients with retinitis: A case series of dual positive intraocular fluid polymerase chain reaction

dc.contributor.advisorSteffen, Jonel
dc.contributor.authorHayes, Morgan
dc.date.accessioned2021-01-28T09:45:01Z
dc.date.available2021-01-28T09:45:01Z
dc.date.issued2020
dc.date.updated2021-01-27T09:36:29Z
dc.description.abstractObjective To report 10 cases of dual-positive intraocular fluid PCR results in infectious retinitis where both pathogens may be clinically relevant. Methods A retrospective observational case series including 10 patients with infectious retinitis who demonstrated more than 1 positive result on PCR testing over a 10-year period at a single referral centre. Results Of 619 patients who underwent intraocular fluid PCR testing for infectious retinitis, we identified 10 patients (1.62%) where 2 organisms were isolated. All 10 patients were HIV positive with profound immunosuppression (mean CD4 count 67cells/mm3) and extensive retinitis. CMV was identified in all 10 cases whilst the additional pathogen was VZV in 6 cases, Toxoplasma gondii in 3 cases and HSV in 1 case. Conclusions PCR analysis of ocular fluids is important in this clinical scenario since more than one pathogen may be present and clinically relevant. Clinicians should be aware of this rare phenomenon to ensure that, when it does occur, consideration be given to adjusting treatment to cover both organisms.
dc.identifier.apacitationHayes, M. (2020). <i>Co-Infection in HIV positive patients with retinitis: A case series of dual positive intraocular fluid polymerase chain reaction</i>. (). ,Faculty of Health Sciences ,Division of Ophthalmology. Retrieved from http://hdl.handle.net/11427/32719en_ZA
dc.identifier.chicagocitationHayes, Morgan. <i>"Co-Infection in HIV positive patients with retinitis: A case series of dual positive intraocular fluid polymerase chain reaction."</i> ., ,Faculty of Health Sciences ,Division of Ophthalmology, 2020. http://hdl.handle.net/11427/32719en_ZA
dc.identifier.citationHayes, M. 2020. Co-Infection in HIV positive patients with retinitis: A case series of dual positive intraocular fluid polymerase chain reaction. . ,Faculty of Health Sciences ,Division of Ophthalmology. http://hdl.handle.net/11427/32719en_ZA
dc.identifier.ris TY - Master Thesis AU - Hayes, Morgan AB - Objective To report 10 cases of dual-positive intraocular fluid PCR results in infectious retinitis where both pathogens may be clinically relevant. Methods A retrospective observational case series including 10 patients with infectious retinitis who demonstrated more than 1 positive result on PCR testing over a 10-year period at a single referral centre. Results Of 619 patients who underwent intraocular fluid PCR testing for infectious retinitis, we identified 10 patients (1.62%) where 2 organisms were isolated. All 10 patients were HIV positive with profound immunosuppression (mean CD4 count 67cells/mm3) and extensive retinitis. CMV was identified in all 10 cases whilst the additional pathogen was VZV in 6 cases, Toxoplasma gondii in 3 cases and HSV in 1 case. Conclusions PCR analysis of ocular fluids is important in this clinical scenario since more than one pathogen may be present and clinically relevant. Clinicians should be aware of this rare phenomenon to ensure that, when it does occur, consideration be given to adjusting treatment to cover both organisms. DA - 2020_ DB - OpenUCT DP - University of Cape Town KW - Ophthalmology LK - https://open.uct.ac.za PY - 2020 T1 - Co-Infection in HIV positive patients with retinitis: A case series of dual positive intraocular fluid polymerase chain reaction TI - Co-Infection in HIV positive patients with retinitis: A case series of dual positive intraocular fluid polymerase chain reaction UR - http://hdl.handle.net/11427/32719 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/32719
dc.identifier.vancouvercitationHayes M. Co-Infection in HIV positive patients with retinitis: A case series of dual positive intraocular fluid polymerase chain reaction. []. ,Faculty of Health Sciences ,Division of Ophthalmology, 2020 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/32719en_ZA
dc.language.rfc3066eng
dc.publisher.departmentDivision of Ophthalmology
dc.publisher.facultyFaculty of Health Sciences
dc.subjectOphthalmology
dc.titleCo-Infection in HIV positive patients with retinitis: A case series of dual positive intraocular fluid polymerase chain reaction
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationlevelMMed
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