Coccidioidal choroiditis following renal transplantation

Document Type

Article

Publication Date

1-1-1972

Abstract

A 25-year-old Mexican-American man with end-stage kidney disease developed uncontrollable hypertension and severe hypertensive retinopathy while on hemodialysis. Bilateral nephrectomies were performed with subsequent control of the hypertension and resolution of retinal and disk edema, hemorrhages, and cotton wool spots. The patient had a positive coccidioidin skin test but no other evidence of coccidioidomycosis. Three weeks after renal homotransplantation and treatment with immunosuppressives the patient developed lung infiltrates and an enlarging mediastinal mass. Blood cultures grew out Coccidioides immitis. The patient died four days later with autopsy proven disseminated coccidioidomycosis. No ophthalmic examination was performed during the terminal illness. However, pathologic examination revealed areas of focal choroiditis containing PAS-positive spherules of presumed C. immitis. © 1972.

Publication Source (Journal or Book title)

American Journal of Ophthalmology

First Page

1080

Last Page

1085

This document is currently not available here.

Share

COinS