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Epstein-Barr virus and acute retinal necrosis in a 5-year-old immunocompetent child
OBJECTIVE: To describe a case of bilateral acute retinal necrosis syndrome (ARNS) in a 5-year-old boy. METHOD: A retrospective, interventional case is described in one child attending the pediatric ophthalmology section, complaining of sudden bilateral red eye and haze-impaired vision. A standardize...
Autores principales: | , , , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2008
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2693969/ https://www.ncbi.nlm.nih.gov/pubmed/19668736 |
Sumario: | OBJECTIVE: To describe a case of bilateral acute retinal necrosis syndrome (ARNS) in a 5-year-old boy. METHOD: A retrospective, interventional case is described in one child attending the pediatric ophthalmology section, complaining of sudden bilateral red eye and haze-impaired vision. A standardized ophthalmologic examination and specific serological probes supported the diagnosis of severe bilateral ARNS in an immunocompetent child. RESULTS: The reduced visual acuity (<20/400), the ocular fundus signs (perivasculitis, thrombosis and retinal edema) and the positive immunoglobulin M anti-Epstein Barr virus serology, lead us to the ARNS definitive diagnosis. Antiviral therapy (Acyclovir; Zovirax(®)), ciclopentolate dilating eye drops, and antiplatelet treatment (acetil salicylic acid; Aspirin(®)) were administered until recovering the final visual acuity (20/40). CONCLUSIONS: The ARNS is an ocular disease with poor prognosis, which in turns may display better course when determining the etiopathogenic virus and selecting the appropriate and precocious therapy. |
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