What finding should alert the nurse to a potential cytomegalovirus (CMV) infection in an HIV-infected patient?
A) Blurry vision
B) Burning on urination (dysuria)
C) Sore throat
D) Muscle aches
A) Blurry vision
Explanation: A) Cytomegalovirus (CMV) is a virus carried by 60% of the U.S. population. It can be found in blood, saliva, semen, cervical secretions, and urine. Normally, the immune system inhibits CMV replication. In individuals with severe immunosuppression (typically when the CD4+ T-lymphocyte count drops below 50 cells/mm3), active viral replication can occur with dissemination to target tissues such as the retina, gut, lungs, and CNS. CMV retinitis is the most common CMV infection, accounting for 80-90% of all CMV infections among AIDS patients. Dysuria, sore throat, and muscle aches are not typical symptoms of CMV.
B) Cytomegalovirus (CMV) is a virus carried by 60% of the U.S. population. It can be found in blood, saliva, semen, cervical secretions, and urine. Normally, the immune system inhibits CMV replication. In individuals with severe immunosuppression (typically when the CD4+ T-lymphocyte count drops below 50 cells/mm3), active viral replication can occur with dissemination to target tissues such as the retina, gut, lungs, and CNS. CMV retinitis is the most common CMV infection, accounting for 80-90% of all CMV infections among AIDS patients. Dysuria, sore throat, and muscle aches are not typical symptoms of CMV.
C) Cytomegalovirus (CMV) is a virus carried by 60% of the U.S. population. It can be found in blood, saliva, semen, cervical secretions, and urine. Normally, the immune system inhibits CMV replication. In individuals with severe immunosuppression (typically when the CD4+ T-lymphocyte count drops below 50 cells/mm3), active viral replication can occur with dissemination to target tissues such as the retina, gut, lungs, and CNS. CMV retinitis is the most common CMV infection, accounting for 80-90% of all CMV infections among AIDS patients. Dysuria, sore throat, and muscle aches are not typical symptoms of CMV.
D) Cytomegalovirus (CMV) is a virus carried by 60% of the U.S. population. It can be found in blood, saliva, semen, cervical secretions, and urine. Normally, the immune system inhibits CMV replication. In individuals with severe immunosuppression (typically when the CD4+ T-lymphocyte count drops below 50 cells/mm3), active viral replication can occur with dissemination to target tissues such as the retina, gut, lungs, and CNS. CMV retinitis is the most common CMV infection, accounting for 80-90% of all CMV infections among AIDS patients. Dysuria, sore throat, and muscle aches are not typical symptoms of CMV.
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