Lack of Reactivation of Cytomegalovirus Retinitis in an AIDS Patient, During and After Stopping Long-Term Cidofovir Treatment: Case Report

Abstract

The case of an AIDS patient with cytomegalovirus (CMV) retinitis who was treated with cidofovir for 17 consecutive months, without any adverse effect, is presented. In the context of antiretroviral therapy, cidofovir therapeutic regimen was 5 mg/kg of body weight for 2 weeks and 5 mg/kg thereafter every other week. Probenecid, hydration and monitoring for proteinuria were also used to prevent nephrotoxicity. The patient stopped maintenance therapy for CMV retinitis after the permanent rise of CD4+ cells above 100 c/mm³. For more than 10 months after drug withdrawal the patient remains free of retinitis.