Case synopsis A 53-year-old man has presented to emergency department complaining of blurring of his vision and seeing ‘flashing lights’ in both eyes. He denies any headaches or rashes, he has experienced intermittent fevers for several days and is feeling generally unwell. He was undiagnosed with HIV infection five years ago and started highly active antiretroviral treatment (HAART) six weeks earlier owing to a low CD4 count. His HIV viral load has fallen rapidly over recent weeks. Examination A system examination reveals cervical lymphadenopathy.
On fundoscopy, areas of infarction (white patches) and hemorrhage (red patches) are seen bilaterally. Blood tests show a high lymphatic count. *This case is from Docplexus editorial team for educative purpose only Source: 100 Cases in Acute Medicine - Kerry Lane, Henry Fok Stay connected, the answers will be posted in next 48h! What could be…
