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Photos courtesy of: Jan Geert Bollemeijer, M.D.
Used with permission. Not to be reproduced.

A 23-year-old HIV-positive female complains of a 4-week history of painless, decreased vision in both eyes. Above is the fundus appearance at presentation; there is minimal vitritis.

1.	Which of the following viruses could be associated with these fundus findings?
	a. Epstein-Barr virus (EBV) b. cytomegalovirus (CMV) c. varicella zoster virus (VZV) d. herpes simplex virus (HSV) e. (c) and (d) f. human herpes virus- 8 (HHV-8)
2.	The following would be suitable treatment(s) for this condition:
	a. Ketoconazole b. Aciclovir / Foscarnet c. Methotrexate d. Co-trimoxazole e. none of the above
3.	Which of the following features are 'typical' of this condition?
	a. It occurs at low CD4 counts in the context of HIV. b. It affects mainly the peripheral retina. c. There is a prominent AC and vitreous inflammation. d. Occlusive vasculopathy is seen. e. It has a rapid progression but responds well to treatment.

For answers to the above, click here on or after January 12, 2010.