Chickenpox Chorioretinitis with Retinal Exudates and Periphlebitis
Background: Chickenpox is rarely associated with posterior segment inflammation. We report on a case of unilateral chickenpox chorioretinitis with retinal exudates and periphlebitis. Case Presentation: A 21-year-old healthy man, who suffered from chickenpox 2 weeks prior to symptom development, exhi...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2012-05-01
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| Series: | Case Reports in Ophthalmology |
| Subjects: | |
| Online Access: | http://www.karger.com/Article/FullText/339128 |
| _version_ | 1828452217152077824 |
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| author | Hirokuni Kitamei Kenichi Namba Nobuyoshi Kitaichi Akiko Wakayama Shigeaki Ohno Susumu Ishida |
| author_facet | Hirokuni Kitamei Kenichi Namba Nobuyoshi Kitaichi Akiko Wakayama Shigeaki Ohno Susumu Ishida |
| author_sort | Hirokuni Kitamei |
| collection | DOAJ |
| description | Background: Chickenpox is rarely associated with posterior segment inflammation. We report on a case of unilateral chickenpox chorioretinitis with retinal exudates and periphlebitis. Case Presentation: A 21-year-old healthy man, who suffered from chickenpox 2 weeks prior to symptom development, exhibited mild anterior chamber cells, vitreous opacity, sheathing of retinal veins, and yellow-white exudates in his right eye. Varicella zoster virus DNA was detected by polymerase chain reaction in the aqueous humor. He was treated with intravenous acyclovir followed by oral prednisolone and valaciclovir. Aqueous cells quickly disappeared and retinal exudates diminished within 1 month, leaving faint retinal scarring. Retinal arteritis had never been observed in this patient. Conclusions: Although the ocular findings in this case were similar to acute retinal necrosis (ARN), the clinical features differed from ARN in the following points: (1) mild anterior chamber inflammation, (2) absence of retinal arteritis, and (3) prompt resolution of inflammatory findings. The distinctive clinical features indicated that chorioretinitis associated with chickenpox may not have the same pathological conditions as ARN. |
| first_indexed | 2024-12-10T23:50:07Z |
| format | Article |
| id | doaj.art-6c0eeb519db5466daf8deaf0cb6302e1 |
| institution | Directory Open Access Journal |
| issn | 1663-2699 |
| language | English |
| last_indexed | 2024-12-10T23:50:07Z |
| publishDate | 2012-05-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Ophthalmology |
| spelling | doaj.art-6c0eeb519db5466daf8deaf0cb6302e12022-12-22T01:28:48ZengKarger PublishersCase Reports in Ophthalmology1663-26992012-05-013218018410.1159/000339128339128Chickenpox Chorioretinitis with Retinal Exudates and PeriphlebitisHirokuni KitameiKenichi NambaNobuyoshi KitaichiAkiko WakayamaShigeaki OhnoSusumu IshidaBackground: Chickenpox is rarely associated with posterior segment inflammation. We report on a case of unilateral chickenpox chorioretinitis with retinal exudates and periphlebitis. Case Presentation: A 21-year-old healthy man, who suffered from chickenpox 2 weeks prior to symptom development, exhibited mild anterior chamber cells, vitreous opacity, sheathing of retinal veins, and yellow-white exudates in his right eye. Varicella zoster virus DNA was detected by polymerase chain reaction in the aqueous humor. He was treated with intravenous acyclovir followed by oral prednisolone and valaciclovir. Aqueous cells quickly disappeared and retinal exudates diminished within 1 month, leaving faint retinal scarring. Retinal arteritis had never been observed in this patient. Conclusions: Although the ocular findings in this case were similar to acute retinal necrosis (ARN), the clinical features differed from ARN in the following points: (1) mild anterior chamber inflammation, (2) absence of retinal arteritis, and (3) prompt resolution of inflammatory findings. The distinctive clinical features indicated that chorioretinitis associated with chickenpox may not have the same pathological conditions as ARN.http://www.karger.com/Article/FullText/339128ChickenpoxChorioretinitisIntraocular inflammationPrimary VZV infectionUveitisVaricella zoster virusAcute retinal necrosis |
| spellingShingle | Hirokuni Kitamei Kenichi Namba Nobuyoshi Kitaichi Akiko Wakayama Shigeaki Ohno Susumu Ishida Chickenpox Chorioretinitis with Retinal Exudates and Periphlebitis Case Reports in Ophthalmology Chickenpox Chorioretinitis Intraocular inflammation Primary VZV infection Uveitis Varicella zoster virus Acute retinal necrosis |
| title | Chickenpox Chorioretinitis with Retinal Exudates and Periphlebitis |
| title_full | Chickenpox Chorioretinitis with Retinal Exudates and Periphlebitis |
| title_fullStr | Chickenpox Chorioretinitis with Retinal Exudates and Periphlebitis |
| title_full_unstemmed | Chickenpox Chorioretinitis with Retinal Exudates and Periphlebitis |
| title_short | Chickenpox Chorioretinitis with Retinal Exudates and Periphlebitis |
| title_sort | chickenpox chorioretinitis with retinal exudates and periphlebitis |
| topic | Chickenpox Chorioretinitis Intraocular inflammation Primary VZV infection Uveitis Varicella zoster virus Acute retinal necrosis |
| url | http://www.karger.com/Article/FullText/339128 |
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