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    Subjects/Microbiology/Herpes Viruses — HSV, VZV, CMV, EBV
    Herpes Viruses — HSV, VZV, CMV, EBV
    hard
    bug Microbiology

    A 32-year-old man with newly diagnosed HIV (CD4 count 35 cells/μL) presents with floaters, photopsia, and progressive visual field loss over 2 weeks. Dilated fundoscopy reveals granular infiltrates with hemorrhages at the border of normal and abnormal retina in a 'cottage cheese and ketchup' pattern, primarily in the peripheral retina. What is the most likely diagnosis?

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