Varicella Zoster Meningitis, Optic Neuritis Preceding the Development of Posterior Outer Retinal Necrosis, and Central Retinal Artery Occlusion in a HIV Patient
Joint Authors
Gunturu, Manasa
Gosi, Shiva Kumar
Kanduri, Swetha
Garla, Vishnu
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-07-28
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Varicella-zoster virus (VZV) has been known to cause various eye disorders in both immunocompetent and immunocompromised patients.
We present a case of a forty-nine-year-old female patient with acquired immunodeficiency syndrome (AIDS) who presented with headache, fever, and blurred vision.
Cerebrospinal fluid (CSF) analysis was consistent with VZV meningitis.
Magnetic resonance imaging (MRI) of the brain showed enhancement of the right optic nerve indicative of optic neuritis.
She responded well to acyclovir and steroids and discharged on the same.
Four weeks after discharge, she presented with sudden onset blindness in the left eye.
A cerebral angiogram revealed left retinal artery occlusion and was treated with tissue plasminogen activator (tPA).
Funduscopic examination showed patchy areas of necrosis in the periphery which were rapidly progressive, diagnostic of posterior outer retinal necrosis (PORN).
She was started on ganciclovir and cidofovir and experienced significant improvement in her visual acuity.
American Psychological Association (APA)
Gunturu, Manasa& Gosi, Shiva Kumar& Kanduri, Swetha& Garla, Vishnu. 2019. Varicella Zoster Meningitis, Optic Neuritis Preceding the Development of Posterior Outer Retinal Necrosis, and Central Retinal Artery Occlusion in a HIV Patient. Case Reports in Medicine،Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1140865
Modern Language Association (MLA)
Gunturu, Manasa…[et al.]. Varicella Zoster Meningitis, Optic Neuritis Preceding the Development of Posterior Outer Retinal Necrosis, and Central Retinal Artery Occlusion in a HIV Patient. Case Reports in Medicine No. 2019 (2019), pp.1-4.
https://search.emarefa.net/detail/BIM-1140865
American Medical Association (AMA)
Gunturu, Manasa& Gosi, Shiva Kumar& Kanduri, Swetha& Garla, Vishnu. Varicella Zoster Meningitis, Optic Neuritis Preceding the Development of Posterior Outer Retinal Necrosis, and Central Retinal Artery Occlusion in a HIV Patient. Case Reports in Medicine. 2019. Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1140865
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1140865