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Optic Neuritis in an Adult Patient with Chickenpox

Central nervous system involvement in a patient with primary infection with Varicella zoster virus is rare, especially in the immunocompetent adult. In particular, isolated optic neuritis has been described in a small number of cases. The authors present a case of optic neuritis in an immunocompeten...

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Autores principales: Azevedo, Ana Rita, Simões, Rita, Silva, Filipe, Pina, Susana, Santos, Cristina, Pêgo, Peter, Silva, Filomena, Teixeira, Susana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3535731/
https://www.ncbi.nlm.nih.gov/pubmed/23320222
http://dx.doi.org/10.1155/2012/371584
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author Azevedo, Ana Rita
Simões, Rita
Silva, Filipe
Pina, Susana
Santos, Cristina
Pêgo, Peter
Silva, Filomena
Teixeira, Susana
author_facet Azevedo, Ana Rita
Simões, Rita
Silva, Filipe
Pina, Susana
Santos, Cristina
Pêgo, Peter
Silva, Filomena
Teixeira, Susana
author_sort Azevedo, Ana Rita
collection PubMed
description Central nervous system involvement in a patient with primary infection with Varicella zoster virus is rare, especially in the immunocompetent adult. In particular, isolated optic neuritis has been described in a small number of cases. The authors present a case of optic neuritis in an immunocompetent patient. A 28-year-old woman presented to the emergency room with a history of headaches during the previous week, without visual symptoms. The examination was unremarkable, except for a rash suggestive of chickenpox and hyperemic and edematous optic disc, bilaterally. Visual acuity and neurological examination were normal. Two days later, she complained of pain on eye movement and decreased visual acuity, which was 20/32 in her right eye and 20/60 in her left eye. Four days after admission, her visual acuity started to improve, and two months later, she had 20/20 visual acuity in both eyes. To our knowledge, this is the first reported case of an immunocompetent adult in which a Varicella zoster virus associated optic neuritis presented with fundoscopic changes before decreased visual acuity. This suggests that this condition may be underdiagnosed in asymptomatic patients.
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spelling pubmed-35357312013-01-14 Optic Neuritis in an Adult Patient with Chickenpox Azevedo, Ana Rita Simões, Rita Silva, Filipe Pina, Susana Santos, Cristina Pêgo, Peter Silva, Filomena Teixeira, Susana Case Rep Ophthalmol Med Case Report Central nervous system involvement in a patient with primary infection with Varicella zoster virus is rare, especially in the immunocompetent adult. In particular, isolated optic neuritis has been described in a small number of cases. The authors present a case of optic neuritis in an immunocompetent patient. A 28-year-old woman presented to the emergency room with a history of headaches during the previous week, without visual symptoms. The examination was unremarkable, except for a rash suggestive of chickenpox and hyperemic and edematous optic disc, bilaterally. Visual acuity and neurological examination were normal. Two days later, she complained of pain on eye movement and decreased visual acuity, which was 20/32 in her right eye and 20/60 in her left eye. Four days after admission, her visual acuity started to improve, and two months later, she had 20/20 visual acuity in both eyes. To our knowledge, this is the first reported case of an immunocompetent adult in which a Varicella zoster virus associated optic neuritis presented with fundoscopic changes before decreased visual acuity. This suggests that this condition may be underdiagnosed in asymptomatic patients. Hindawi Publishing Corporation 2012 2012-12-19 /pmc/articles/PMC3535731/ /pubmed/23320222 http://dx.doi.org/10.1155/2012/371584 Text en Copyright © 2012 Ana Rita Azevedo et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Azevedo, Ana Rita
Simões, Rita
Silva, Filipe
Pina, Susana
Santos, Cristina
Pêgo, Peter
Silva, Filomena
Teixeira, Susana
Optic Neuritis in an Adult Patient with Chickenpox
title Optic Neuritis in an Adult Patient with Chickenpox
title_full Optic Neuritis in an Adult Patient with Chickenpox
title_fullStr Optic Neuritis in an Adult Patient with Chickenpox
title_full_unstemmed Optic Neuritis in an Adult Patient with Chickenpox
title_short Optic Neuritis in an Adult Patient with Chickenpox
title_sort optic neuritis in an adult patient with chickenpox
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3535731/
https://www.ncbi.nlm.nih.gov/pubmed/23320222
http://dx.doi.org/10.1155/2012/371584
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