Varicella-zoster virus necrotising retinitis, retinal vasculitis and panuveitis following uncomplicated chickenpox in an immunocompetent child. (5th April 2018)

• Record Type: Journal Article
• Authors: Yu, Jonathan; Ashworth, Jane; Hughes, Stephen; Jones, Nicholas
• Is Part Of: BMJ case reports. Volume 2018
• Publication Date: 2018-04-05
• Subjects: infectious diseases -- retina; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2017-223823
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : A 4-year-old girl presented with acute left visual loss 4 weeks after uneventful chickenpox. She was found to have left necrotising retinitis and profound retinal vasculitis and vitritis. Aqueous humour was PCR positive for varicella-zoster virus. Combined intravenous and intravitreal antiviral treatment led to rapid improvement with settled retinitis, no vascular occlusion and good recovery of vision. Her recent coinfection with Epstein-Barr virus may have acted to provoke the retinitis.