Influenza-Induced Acute Macular Neuroretinopathy With Cerebral Involvement in a Ten-Year-Old Boy
| Autor: | Nathan Farley, Sandeep Randhawa, Sandra R Oska, Ryan A Shields |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Visual acuity Fundus Oculi Visual Acuity Nerve fiber layer Eye Infections Viral White dot syndromes 03 medical and health sciences 0302 clinical medicine Ophthalmology Influenza Human medicine Humans Macula Lutea Fluorescein Angiography Child Vasculitis Central Nervous System Outer nuclear layer White Dot Syndromes medicine.diagnostic_test business.industry Eye infection medicine.disease Fluorescein angiography medicine.anatomical_structure Acute Disease 030221 ophthalmology & optometry Maculopathy medicine.symptom Vasculitis business Magnetic Resonance Angiography Tomography Optical Coherence |
| Zdroj: | Ophthalmic Surgery, Lasers and Imaging Retina. 51:293-297 |
| ISSN: | 2325-8179 2325-8160 |
| DOI: | 10.3928/23258160-20200501-08 |
| Popis: | A 10-year-old male presented with 1-week duration of painless bilateral central vision loss after having been diagnosed with influenza A. Optical coherence tomography revealed superficial retinal nerve fiber layer infarcts, hyperreflectivity of the inner nuclear layer consistent with paracentral acute middle maculopathy (PAMM), and outer nuclear layer hyperreflectivity and disruption of the ellipsoid zone suggesting acute macular neuroretinopathy (AMN). Brain MRI revealed enhancement of the right basal ganglia consistent with focal encephalitis. He was diagnosed with presumed influenza-induced leukocytoclastic vasculitis (LCV) and treated with intravenous steroids. Influenza-induced LCV is a rare phenomenon and can present with AMN, PAMM, and encephalitis. [ Ophthalmic Surg Lasers Imaging Retina . 2020;51:293–297.] |
| Databáze: | OpenAIRE |
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