Abstract
We present a rare report of CMV/HSV coinfection retinitis in an immunocompromised patient confirmed by ocular fluid PCR. The case highlights the limited diagnostic utility of serologic testing in viral uveitis and the importance of a careful clinical examination in the management of viral retinitis.
Purpose:The purpose of this study was to describe a case of a 64-year-old man presenting with cytomegalovirus and herpes simplex virus retinitis coinfection in the setting of Burkitt lymphoma.Methods:A case report including multimodal imaging and anterior chamber polymerase chain reaction results was used.Results:This case highlights the importance of the clinical examination and maintaining high diagnostic suspicion for viral retinitis in immunocompromised patients.Conclusion:Aqueous fluid PCR can be a useful adjunctive test to distinguish and confirm a diagnosis of viral retinitis. Given the limited sample volume of aqueous biopsy, it is important to prioritize the order of PCR testing based on clinical suspicion of the causative agent.