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

Case Reports in Medicine

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

Medicine

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