From Simple to Sinister: Kaposi Sarcoma Masquerading as a Subconjunctival Hemorrhage

A young male in his early 30s presented with spontaneous left eye redness for three months associated blood-stained discharge. There was no history of trauma, blood dyscrasias, or anticoagulant intake. On examination, visual acuity normal both eyes. An anterior segment examination the showed subconjunctival hemorrhage a fleshy bright red conjunctival mass hidden inferotemporal fornix. Other parts ocular including contralateral were unremarkable. Upon further inquiry, patient revealed retroviral disease diagnosed eight years ago but had not pursued treatment. Systemic raised non-pigmented lesion tongue and painless purplish plaque at back. Investigations high viral ribonucleic acid (RNA) load confirmed Kaposi sarcoma conjunctiva, tongue, skin; cryptococcal meningitis; smear-negative pulmonary tuberculosis; late latent syphilis. He comanaged by multidisciplinary teams. Highly active antiretroviral therapy (HAART) commenced. Treatment challenge considering simultaneous presence malignancy serious fungal infection brain an immunosuppressed patient. Fortunately, post treatment, he remarkable improvement as there almost complete resolution sarcoma. This case unusual presentation affecting which could have been mistaken simple without informed comorbidity.