CMV Encephalitis with Brain Stem Involvement without Evidence of CMV Retinitis two Weeks after Initiation of Art

Cytomegalovirus (CMV) is a double-stranded DNA virus in the herpes virus family that can cause disseminated or localized endorgan disease in patients with advanced immunosuppression. Endorgan disease caused by CMV occurs in patients with advanced immunosuppression, typically those with CD4 T-lymphocyte cell (CD4)counts <50 cells/mm3, who are either not receiving or have failed to respond to antiretroviral therapy (ART). 

CMV Encephalitis

Cytomegalovirus (CMV) is found universally throughout all geographic and socioeconomic areas and infects an estimated 40% to 100% of adults by the fourth decade of life. In addition, almost all homosexual men with HIV are coinfected with CMV. In HIV-infected persons, CMV can infect the GI tract, liver, lung, and nervous system. CMV can also infect the retina and is the leading cause of blindness in the HIV population. Read more>>>>>>>>