Viral Infections

  • Author: Jin S. Suh, MD, FACP; Humberto R. Jimenez, PharmD, BCPS, AAHIVP (More Info)
  • Editors in Chief: Daniel R. Kuritzkes, MD; Joseph J. Eron, Jr., MD
  • Last Reviewed: 7/26/16 (What's New)

Summary

    Epidemiology
    • Diagnosis of CMV disease has declined markedly with the advent of ART[Holland 2008]
      • CMV end-organ disease occurs in patients not receiving or who have failed to respond to ART[Jabs 2000]
      • In patients with HIV infection, the CD4+ cell count, and peripheral blood quantitative CMV-DNA levels were found to be independent risk factors for CMV retinitis
      Clinical Presentation
        Diagnosis
          CMV-Associated Chorioretinitis
            Cytomegalovirus Gastrointestinal Disease
              Cytomegalovirus-Associated Polyradiculopathy and Ventriculoencephalitis
                Cytomegalovirus-Associated Pneumonitis
                  Treatment of Cytomegalovirus
                    Cytomegalovirus Prophylaxis

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