*This case is related to Monday's case (scroll down).
You and your attending see the man you met on the MUNI (in the previous case). The attending says that he would like to start the patient on the following regimen of three drugs:
After starting these drugs, the patient steadily improves. Two months later though, he returns to SFGH with eye complaints. He says that he has blurred vision and sees floaters. Sometimes, he gets the sensation of flashing lights. You measure his visual acuity and it's gotten worse. On fundoscopic exam, you see an intense inflammatory reaction. Your attending says that the patient's symptoms stem from an infection of one of the eight human herpesviruses.
Challenge: Which herpesvirus is causing these eye problems? What is the relationship between the therapy and these eye problems?
1. What are the drugs shown? What is the regimen called? Hint: that second drug is an analog of cytidine.
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