Q:

A patient presents with progressive visual deterioration. Examination: large, multiple cotton wool spots in both eyes. What is the single most likely diagnosis?

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A patient presents with progressive visual deterioration. Examination: large, multiple cotton wool spots in both eyes. What is the single most likely diagnosis?


  1. Kaposi’s sarcoma
  2. Cryptosporidium
  3. CMV infection
  4. Pneumocystis carinii infection
  5. Cryptococcal infection

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The key is C. CMV infection. [Large multiple cotton wool spots are seen in early stage of CMV retinitis].

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