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BMJ Case Rep. 2018 Apr 5;2018. pii: bcr-2017-223823. doi: 10.1136/bcr-2017-223823.

Varicella-zoster virus necrotising retinitis, retinal vasculitis and panuveitis following uncomplicated chickenpox in an immunocompetent child.

Author information

1
Manchester Royal Eye Hospital, Manchester, UK.
2
Department of Ophthalmology, Manchester Royal Eye Hospital, Manchester, UK.
3
Royal Manchester Children's Hospital, Manchester, UK.

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.

KEYWORDS:

infectious diseases; retina

PMID:
29622711
DOI:
10.1136/bcr-2017-223823
[Indexed for MEDLINE]

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