Multifocal choroiditis secondary to the reactivation of epstein-barr virus.
| Autor: | Schaal S; From the Department of Ophthalmology and Visual Sciences, University of Louisville, Louisville, Kentucky., Tong MG, Purkiss TJ, Kaplan HJ |
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| Jazyk: | angličtina |
| Zdroj: | Retinal cases & brief reports [Retin Cases Brief Rep] 2011 Fall; Vol. 5 (4), pp. 360-2. |
| DOI: | 10.1097/ICB.0b013e3182160939 |
| Abstrakt: | Purpose: To describe a case of multifocal choroiditis associated with Epstein-Barr virus reactivation in a patient who had previously had documented infectious mononucleosis. Methods: Color photos, fluorescein angiography, autofluorescence, indocyanine green angiography, and high-definition optical coherence tomography imaging was performed. A 39-year-old woman presented with a central scotoma in her left eye. At 19 years of age, she developed a peripapillary choroidal neovascular complex in her right eye, which was treated by laser photocoagulation. Two weeks before her visual complaint, she suffered from a frontal headache, occipital lymphadenopathy, and splenomegaly. Results: Laboratory studies revealed markedly elevated immunoglobulin G titers to Epstein-Barr virus and she recalled a history of infectious mononucleosis at 20 years of age. Conclusion: While primary infection may manifest as infectious mononucleosis, like other viruses in the herpes virus family, there may be reactivation of the virus later in life. |
| Databáze: | MEDLINE |
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