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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...

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Detalles Bibliográficos
Autores principales: Gallego-Pinazo, Roberto, Harto, Miguel, Garcia-Medina, Jose J, Serra, Inmaculada, España, Enrique, Pinazo-Duran, Maria D
Formato: Texto
Lenguaje:English
Publicado: Dove Medical Press 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2693969/
https://www.ncbi.nlm.nih.gov/pubmed/19668736
Descripción
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.