Chikungunya fever presenting with acute optic neuropathy
| Autor: | Abhijit Anand Mohite, Adriana Agius-Fernandez |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
genetic structures Vision Disorders medicine.disease_cause Article Serology Optic neuropathy Pupil Disorders medicine Humans Chikungunya Papilledema Aged business.industry Blind spot virus diseases General Medicine medicine.disease Dermatology Rash eye diseases Visual field Chikungunya Fever Female Visual Fields medicine.symptom business Complication |
| Zdroj: | BMJ Case Reports. :bcr2015210081 |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr-2015-210081 |
| Popis: | Chikungunya fever is a vector borne virus that typically causes a self-limiting systemic illness with fever, skin rash and joint aches 2 weeks after infection. We present the case of a 69-year-old woman presenting with an acute unilateral optic neuropathy as a delayed complication of Chikungunya virus (CHIKV) infection contracted during a recent trip to the West Indies. She presented to our ophthalmology department with acute painless visual field loss in the right eye and a recent flu-like illness. She was found to have a right relative afferent pupillary defect (RAPD) with unilateral optic disc swelling. Serology confirmed recent CHIKV infection. Treatment with intravenous methylprednisolone was delayed while awaiting MRI scans and serology results. At 5-month follow-up, there was a persistent right RAPD and marked optic atrophy with a corresponding inferior scotoma in the visual field. |
| Databáze: | OpenAIRE |
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