A Case of Cryptococcal Chorioretinitis in a Renal Transplant Patient.

Kim, In Teak; Kim, Jung Yeal; Kim, Hyun Gue

Case Report

Journal of the Korean Ophthalmological Society 2002;43(5):922-926.
Published online May 1, 2002.

A Case of Cryptococcal Chorioretinitis in a Renal Transplant Patient.

In Teak Kim, Jung Yeal Kim, Hyun Gue Kim

¹Department of Ophthalmology, School of Medicine, Kyungpook National University, Korea. itkim@knu.ac.kr
²Department of Ophthalmology, Ulsan Dong-Kang Hospital, Korea.

신장이식 환자에서의 Cryptococcal chorioretinitis 1예

김인택 ( In Teak Kim ) , 김정열 ( Jung Yeal Kim ) , 김현규 ( Hyun Gue Kim )

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.

Key Words: Cryptococcal chorioretinitis;Renal transplant patient