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A 22-year-old immunocompetent woman who presented with a 3-week history of fever, headache, and visual loss and was found to have subnormal visual acuity and bilateral optic disc swelling. Serum cytomegalovirus (CMV) IgM and IgG and polymerase chain reaction results were positive, indicating an acute CMV infection. No cause of immunocompromise was found. After treatment with intravenous ganciclovir, the papillitis and systemic CMV illness resolved with no residual deficit. This is the first reported case of primary CMV papillitis to be successfully treated with ganciclovir alone.

Original publication

DOI

10.1097/WNO.0b013e3181782fed

Type

Journal article

Journal

J Neuroophthalmol

Publication Date

06/2008

Volume

28

Pages

126 - 127

Keywords

Adult, Antigens, Viral, Antiviral Agents, Cytomegalovirus Infections, Female, Ganciclovir, Humans, Immunocompetence, Optic Disk, Papilledema, RNA, Viral, Treatment Outcome