J Korean Ophthalmol Soc.  2002 May;43(5):922-926.

A Case of Cryptococcal Chorioretinitis in a Renal Transplant Patient

• Kim IT
• Kim JY
• Kim HG

Abstract

PURPOSE: To report a case of cryptococcal chorioretinitis in the renal transplant patient.
MATERIALS AND METHODS
A 31-year old male patient was admitted with visual disturbance, high fever and general weakness. On initial evaluation, visual acuity was 0.9 in the right eye and 0.3 in the left. On fundus exam, right eye showed the lesions which were expanded into posterior pole and equator and left eye showed several yellow white lesions which were larger than optic disc, and some of them were near the fovea. RESULT: Cryptococcus grew in CSF. The ocular diagnosis was cryptococcal chorioretinitis and intra-venous amphotericin B and oral flucytosine were given. In spite of 2-month treatment, the visual acuity of left eye was 0.04 due to the expansion of the lesion toward fovea. The patient refused the treatment after 4 months of treament, and he expired 1 month later.

Keyword

Cryptococcal chorioretinitis; Renal transplant patient

MeSH Terms

Adult
Amphotericin B
Chorioretinitis*
Cryptococcus
Diagnosis
Fever
Flucytosine
Humans
Male
Visual Acuity
Amphotericin B
Flucytosine