Open Access
CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2018; 39(04): 548-550
DOI: 10.4103/ijmpo.ijmpo_48_17
Case Report

Cytomegalovirus Retinitis Occurring as a Complication of HyperCVAD Chemotherapy: Report of Two Cases

Geetha Narayanan
Department of Medical Oncology, Regional Cancer Centre, Thiruvananthapuram, Kerala, India
,
Lakshmi Haridas
Department of Medical Oncology, Regional Cancer Centre, Thiruvananthapuram, Kerala, India
,
Lali V Soman
Department of Medical Oncology, Regional Cancer Centre, Thiruvananthapuram, Kerala, India
› Author Affiliations

Financial support and sponsorship Nil.
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Abstract

Cytomegalovirus (CMV) retinitis is usually diagnosed in patients with acquired immunodeficiency syndrome and in solid organ and hematopoietic stem cell transplant recipients. It produces a characteristic necrotizing retinitis which is a sight-threatening condition in these patients. CMV retinitis occurs rarely in patients undergoing only chemotherapy, and very few cases have been reported during the maintenance phase of acute lymphoblastic leukemia (ALL) in children. We report two patients, one with ALL and the other with Burkitt’s lymphoma on HyperCVAD chemotherapy developing CMV retinitis during the course of treatment. Both patients were treated with intravenous ganciclovir, oral valganciclovir and intravitreal ganciclovir. Both patients are alive in remission at 60 and 40 months, respectively, with preservation of normal vision.



Publication History

Article published online:
17 June 2021

© 2018. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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