A Case of Post Encephalitic Optic Neuritis: Clinical Spectrum, Differential Diagnosis and Management
| Autor: | Viral Rashminbhai Soni, Arpit Vashisht, Bhoomika Katbamna, Ravinder Kumar, Gagan Jaiswal, Abhishek Bhargava |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Pediatrics
medicine.medical_specialty medicine.drug_class Acyclovir Case Report Optic neuritis Malaise 03 medical and health sciences 0302 clinical medicine lcsh:Ophthalmology medicine Corticosteroid business.industry Multiple sclerosis Viral encephalitis medicine.disease Pathophysiology Herpes Simplex Virus Ophthalmology Encephalitis lcsh:RE1-994 030221 ophthalmology & optometry medicine.symptom Differential diagnosis business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Ophthalmic & Vision Research Journal of Ophthalmic & Vision Research, Vol 13, Iss 2, Pp 191-194 (2018) |
| ISSN: | 2008-322X 2008-2010 |
| Popis: | Purpose: Most cases of optic neuritis are idiopathic or are associated with multiple sclerosis. We present a case in which a young female developed post-infectious left optic neuritis following herpes simplex encephalitis (HSE). Case Report: A 24-year-old female presented with a severe headache, fever, and malaise of a one-week duration. Viral encephalitis was diagnosed and treated; intravenous acyclovir (750 mg every 8 h) was administered for 14 days. The patient improved clinically and was prescribed oral valacyclovir (1,000 mg, three times daily) for an additional 3 months as an outpatient. The patient presented again four weeks after the initial admission with left periocular pain and other typical manifestations of optic neuritis. We diagnosed post-infectious left optic neuritis following viral encephalitis. Corticosteroid therapy with 250 mg intravenous methylprednisolone every 6 hours was initiated and the patient showed rapid significant recovery. Conclusion: This case report highlights the patient's clinical course and includes a brief history of the systemic effects of HSE, as well as the pathophysiology, management, and differential diagnosis of post-encephalitic optic neuritis. We suggest that clinicians should routinely perform an ophthalmologic examination during the follow-up visits of such patients. |
| Databáze: | OpenAIRE |
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