Bilateral Retrobulbar Neuritis Due to Varicella Zoster Preceding Retinal Necrosis in a Patient with AIDS
| Autor: | Hazem M. Samy, Ryan Bisbey, Andrew W. Eller, Denise S. Gallagher |
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| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
Retinal necrosis genetic structures Optic tract business.industry viruses Neuritis virus diseases Progressive outer retinal necrosis Retinal General Medicine medicine.disease Dermatology eye diseases Surgery medicine.infectious_disease Ophthalmology chemistry.chemical_compound Acquired immunodeficiency syndrome (AIDS) chemistry medicine Arachnoiditis business Herpes Zoster Dermatitis |
| Zdroj: | Seminars in Ophthalmology. 24:205-209 |
| ISSN: | 1744-5205 0882-0538 |
| Popis: | Objective: The purpose of this study is to describe a case report of varicella zoster (VZV) infection presenting as bilateral retrobulbar neuritis affecting optic tracts, chiasm, and bilateral optic nerves preceding bilateral progressive outer retinal necrosis in a single patient with AIDS.Methods:The clinical course of a single patient with confirmed VZV infection will be described including presentation, diagnosis, and treatment.Results:The affected patient presented with acute, bilateral vision loss, and headache. The patient’s history was devoid of past, concurrent, or subsequent development of herpes zoster dermatitis. The patient lacked signs of meningeal irritation or infection. Diagnosis of VZV arachnoiditis and retrobulbar optic neuritis were confirmed by radiological and CSF examination and preceded the clinical identification of retinal involvement. Despite early, aggressive treatment with intravenous antiviral and steroids, as well as intravitreal antiviral therapy, complete bilateral visual l... |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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