Acute retinal necrosis by herpes simplex virus type 1: an unusual presentation of a primary infection.
BMJ Case Rep
; 12(12)2019 Dec 02.
Article
em En
| MEDLINE
| ID: mdl-31796440
ABSTRACT
Herpes simplex virus (HSV) can affect the central nervous system causing meningitis, encephalitis and, rarely, acute retinal necrosis. We present a case of a 46-year-old man, previously healthy complaining of a 5-day persistent headache and sudden loss of vision of his left eye that progressed to the right. We started ceftriaxone, methylprednisolone and acyclovir for suspected encephalitis with vasculitis. HSV-1 was identified in vitreous and aqueous humour. Therapy with acyclovir was maintained and two intravitreous boluses of foscarnet were administered, without improvement. Usually being a benign infection, HSV can, in rare cases like this, have catastrophic effects in the optic tract.
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Base de dados:
MEDLINE
Assunto principal:
Antivirais
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Aciclovir
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Infecções Oculares Virais
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Síndrome de Necrose Retiniana Aguda
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article