[Cryptococcal choroiditis in a patient with acquired immunodeficiency syndrome]. / Coroiditis criptocócica en un paciente con síndrome de inmunodeficiencia adquirida.

PURPOSE/METHODS: We report the case of a 31 year old male with presumed cryptococcal choroiditis associated with cryptococcal meningitis and AIDS. Multiple yellowish-whitish small choroidal lesions, retinal hemorrhages and cotton-wool spots appeared in the posterior pole associated with vision loss. We also carried out differential diagnosis with other frequent diseases and a review of the treatments. RESULTS/CONCLUSIONS: Cryptococcus neoformans is an opportunistic fungus with a predilection for infecting the meninges in patients with Acquired Immunodeficiency Syndrome AIDS (10%). Ocular manifestation usually includes cranial nerve palsies or papilledema secondary to increased intracranial pressure. Cryptococcal choroiditis is less frequent (5% of patients with meningitis).

Coroiditis criptocócica en un paciente con Síndrome de Inmunodeficiencia Adquirida / Cryptococcal choroiditis in a patient with acquired Immunodeficiency Syndrome

Objetivo/Método: Presentamos el caso de un paciente de 31 años con presunta coroiditis criptocócica que ocurrió en el seno de una meningitis criptocócica y SIDA. Múltiples lesiones pequeñas blanco-amarillentas aparecieron bilateralmente en coroides, así como abundantes hemorragias y exudados algodonosos asociados a disminución de agudeza visual. También realizamos diagnóstico diferencial con otras entidades frecuentes y revisión de los tratamientos. Resultados/Conclusiones: Criptococos neoformans es un hongo oportunista con predilección por afectación meníngea en SIDA (10 por ciento). Las manifestaciones oculares normalmente son por afectación de los pares craneales o por papiledema secundario al aumento de presión intracraneal (hasta en un 50 por ciento de los casos). La coroiditis criptocócica ocurre menos frecuentemente (5 por ciento de pacientes con meningitis) (AU)

Purpose/Methods: We report the case of a 31 year old male with presumed cryptococcal choroiditis associated with cryptococcal meningitis and AIDS. Multiple yellowish-whitish small choroidal lesions, retinal hemorrhages and cotton-wool spots appeared in the posterior pole associated with vision loss. We also carried out differential diagnosis with other frequent diseases and a review of the treatments. Results/Conclusions: Cryptococcus neoformans is an opportunistic fungus with a predilection for infecting the meninges in patients with Acquired Immunodeficiency Syndrome AIDS (10%). Ocular manifestation usually includes cranial nerve palsies or papilledema secondary to increased intracranial pressure. Cryptococcal choroiditis is less frequent (5% of patients with meningitis) (AU)

Chondroid syringomas of the eyelid: two cases.

PURPOSE: We report two new cases of chondroid syringoma (CS) of the eyelid. Until 1961, this entity was known as pleomorphic adenoma or benign mixed tumour of the skin of salivary glands type. This tumour occurs most commonly in the head and neck regions. CASE REPORTS: We describe two cases of CS with rapid growth, in the upper right eyelid, with no relation with the palpebral lobe of the lacrimal gland. RESULTS. Treatment consists of wide local surgical excision with its capsule, in its entirety. CONCLUSIONS: These tumours of the ocular adnexa are exceedingly rare. Malignant transformation is possible.