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

    A 28-year-old immunocompromised man (CD4 count 35 cells/μL) presents with progressive vision loss, floaters, and photopsia in the right eye over 3 weeks. Fundoscopy reveals hemorrhagic retinal infiltrates with a granular appearance at the periphery, advancing centripetally. What is the most likely diagnosis and what is the mechanism of retinal necrosis in this condition?

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