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10.1136/bcr-2017-222237 http://scihub22266oqcxt.onion/10.1136/bcr-2017-222237 C5878387!5878387 !29563125     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=29563125 &cmd=llinks): Failed to open stream: HTTP request failed! 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Sequential retinal necrosis secondary to varicella zoster in unrecognised long-standing HIV infection: patient safety report |pdf=|usr=}}{{29563125 }} gab.com Text Sequential retinal necrosis secondary to varicella zoster in unrecognised long-standing HIV infection: patient safety report JO: BMJ Case Rep http://www.kidney.de/pget.php?&tw=1&pmid=29563125 #FOAvip A retired woman with left ophthalmic shingles of over 2 years' duration attended with bilateral vision loss and systemic upset. Acute retinal necrosis with detachment was detected on right fundus examination. Cataract in left eye precluded funduscopy. Ocular ultrasonography revealed fibrotic retinal detachment in the left eye. MRI brain and orbits also showed signals of retinal detachment. No abnormal MRI signal within the optic nerve or brain was found. Varicella zoster virus was detected in ocular aqueous and blood samples. High-dose intravenous acyclovir was administered. HIV test was positive with a very low CD4 count. Antiretroviral medications were prescribed. There was no recovery of vision. She was certified as blind, and social services were involved in seeking to provide alterations to her home in view of her severe disability. This case highlights the importance of suspecting HIV in patients with severe or chronic ophthalmic shingles. Images and implications for clinical practice are presented. Twit Text FOAVip Sequential retinal necrosis secondary to varicella zoster in unrecognised long-standing HIV infection: patient safety report ????BMJ Case Rep http://www.kidney.de/pget.php?&tw=1&pmid=29563125 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=29563125 #FOAvip English Wikipedia <ref>{{Cite pmid|29563125 }}</ref> Sequential retinal necrosis secondary to varicella zoster in unrecognised long-standing HIV infection: patient safety report #MMPMID29563125 Ning BK ; Kelly SP ; Chu C ; Morgan E BMJ Case Rep 2018[Mar]; 2018 (ä): ä PMID29563125 show ga A retired woman with left ophthalmic shingles of over 2 years' duration attended with bilateral vision loss and systemic upset. Acute retinal necrosis with detachment was detected on right fundus examination. Cataract in left eye precluded funduscopy. Ocular ultrasonography revealed fibrotic retinal detachment in the left eye. MRI brain and orbits also showed signals of retinal detachment. No abnormal MRI signal within the optic nerve or brain was found. Varicella zoster virus was detected in ocular aqueous and blood samples. High-dose intravenous acyclovir was administered. HIV test was positive with a very low CD4 count. Antiretroviral medications were prescribed. There was no recovery of vision. She was certified as blind, and social services were involved in seeking to provide alterations to her home in view of her severe disability. This case highlights the importance of suspecting HIV in patients with severe or chronic ophthalmic shingles. Images and implications for clinical practice are presented. |AIDS-Related Opportunistic Infections/*complications/diagnosis/drug therapy [MESH] |Acyclovir/therapeutic use [MESH] |Anti-Retroviral Agents/therapeutic use [MESH] |Antiviral Agents/therapeutic use [MESH] |Blindness/etiology [MESH] |Diagnosis, Differential [MESH] |Female [MESH] |HIV Infections/*complications/diagnosis/drug therapy [MESH] |Herpes Zoster/complications [MESH] |Humans [MESH] |Magnetic Resonance Imaging [MESH] |Patient Safety [MESH] |Retinal Detachment/diagnostic imaging/etiology [MESH] |Retinal Diseases/complications [MESH] |Retinal Necrosis Syndrome, Acute/diagnostic imaging/drug therapy/*etiology [MESH] |Ultrasonography/methods [MESH]Sequential retinal necrosis secondary to varicella zoster in unrecogni(epmc).pdf DeepDyve Pubget Overpricing