Bilateral acute retinal necrosis due to varicella zóster virus in an elderly patient

Autor: O. Villena-Irigoyen, L. Echevarría-Lucas, R.M. Bellido-Muñoz, M. Castro-Gómez
Rok vydání: 2015
Předmět:
Zdroj: Archivos de la Sociedad Española de Oftalmología (English Edition). 90:549-553
ISSN: 2173-5794
DOI: 10.1016/j.oftale.2015.08.022
Popis: Case report The case is reported of acute retinal necrosis with bilateral involvement due to varicella zoster virus in a 77 year-old man. Polymerase chain reaction (PCR) of aqueous humor was positive for varicella zoster virus (VZV). He developed a Kyrieleis’ vasculitis a month after starting the treatment, when the PCR analysis was negative. Discussion PCR is a quick and safe technique, with a high sensitivity and specificity of 97%, useful to diagnose and monitor the viral activity. The intervention must be urgent, due to the dramatically rapid evolution. Oral famciclovir oral is good alternative owing to its bioavailability.
Databáze: OpenAIRE