Indian J Sex Transm Dis Indian J Sex Transm Dis
Official Publication of the Indian Association for the Study of Sexually Transmitted Diseases
Indian J Sex Transm Dis
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Year : 2020  |  Volume : 41  |  Issue : 1  |  Page : 119-122

Cytomegalovirus retinitis associated with high CD4 counts and DHEA abuse

1 Department of Ophthalmology, Queen Elizabeth Hospital, Kota Kinabalu, Malaysia
2 Department of Ophthalmology, University Malaya, Kuala Lumpur, Malaysia

Correspondence Address:
Dr. Syed Shoeb Ahmad
Department of Ophthalmology, Queen Elizabeth Hospital, Kota Kinabalu, 88586
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijstd.IJSTD_90_15

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The most frequent ocular manifestation of acquired immunodeficiency syndrome (AIDS) is cytomegalovirus retinitis (CMVR). This infection is reportedly inversely proportional to the CD4 counts. Usually CMVR develops once the CD4 counts fall below 50/mm3. Our case report documents an AIDS patient who developed CMVR despite CD4 counts being persistently >200/mm3. The patient was self-administering dehydroepiandrosterone, high dose Vitamin C, testosterone and hydrocortisone. This case report describes a unique case of pharmacologically induced elevated CD4 counts, which however, did not prevent the development of CMVR in the patient.

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