Epstein-Barr virus and acute retinal necrosis in a 5-year-old immunocompetent child

Roberto Gallego-Pinazo1,2, Miguel Harto1, Jose J Garcia-Medina2,3, Inmaculada Serra1, Enrique Espa&ntilde;a1, Maria D Pinazo-Duran2,41Ophthalmology Department, University Hospital, La Fe, Valencia, Spain; 2Ophthalmology Research Unit &ldquo;Santiago Grisolia&rdquo;, Valencia,...

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Autores principales:	Roberto Gallego-Pinazo, Miguel Harto, Jose J Garcia-Medina, Inmaculada Serra, Enrique Espa&ntilde;a, Maria D Pinazo-Duran
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2008
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/3bff0412c0da42f9888bd2685885f501
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spelling	oai:doaj.org-article:3bff0412c0da42f9888bd2685885f5012021-12-02T02:08:46ZEpstein-Barr virus and acute retinal necrosis in a 5-year-old immunocompetent child1177-54671177-5483https://doaj.org/article/3bff0412c0da42f9888bd2685885f5012008-06-01T00:00:00Zhttp://www.dovepress.com/epstein-barr-virus-and-acute-retinal-necrosis-in-a-5-year-old-immunoco-a1800https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Roberto Gallego-Pinazo1,2, Miguel Harto1, Jose J Garcia-Medina2,3, Inmaculada Serra1, Enrique Espa&ntilde;a1, Maria D Pinazo-Duran2,41Ophthalmology Department, University Hospital, La Fe, Valencia, Spain; 2Ophthalmology Research Unit &ldquo;Santiago Grisolia&rdquo;, Valencia, Spain; 3Ophthalmology Department, Hospital La inmaculada, Huercal-Overa, Spain; 4Ophthalmology Department, Hospital Punta de Europa, Algeciras, SpainObjective: To describe a case of bilateral acute retinal necrosis syndrome (ARNS) in a 5-year-old boy.Method: A retrospective, interventional case is described in one child attending the pediatric ophthalmology section, complaining of sudden bilateral red eye and haze-impaired vision. A standardized ophthalmologic examination and specific serological probes supported the diagnosis of severe bilateral ARNS in an immunocompetent child.Results: The reduced visual acuity (&lt;20/400), the ocular fundus signs (perivasculitis, thrombosis and retinal edema) and the positive immunoglobulin M anti-Epstein Barr virus serology, lead us to the ARNS definitive diagnosis. Antiviral therapy (Acyclovir; Zovirax&reg;), ciclopentolate dilating eye drops, and antiplatelet treatment (acetil salicylic acid; Aspirin&reg;) were administered until recovering the final visual acuity (20/40).Conclusions: The ARNS is an ocular disease with poor prognosis, which in turns may display better course when determining the etiopathogenic virus and selecting the appropriate and precocious therapy.Keywords: retinal necrosis, Epstein-Barr virus, antiviral serology, antiviral therapy Roberto Gallego-PinazoMiguel HartoJose J Garcia-MedinaInmaculada SerraEnrique Espa&ntilde;aMaria D Pinazo-DuranDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2008, Iss Issue 2, Pp 451-455 (2008)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Roberto Gallego-Pinazo Miguel Harto Jose J Garcia-Medina Inmaculada Serra Enrique Espa&ntilde;a Maria D Pinazo-Duran Epstein-Barr virus and acute retinal necrosis in a 5-year-old immunocompetent child
description	Roberto Gallego-Pinazo1,2, Miguel Harto1, Jose J Garcia-Medina2,3, Inmaculada Serra1, Enrique Espa&ntilde;a1, Maria D Pinazo-Duran2,41Ophthalmology Department, University Hospital, La Fe, Valencia, Spain; 2Ophthalmology Research Unit &ldquo;Santiago Grisolia&rdquo;, Valencia, Spain; 3Ophthalmology Department, Hospital La inmaculada, Huercal-Overa, Spain; 4Ophthalmology Department, Hospital Punta de Europa, Algeciras, SpainObjective: To describe a case of bilateral acute retinal necrosis syndrome (ARNS) in a 5-year-old boy.Method: A retrospective, interventional case is described in one child attending the pediatric ophthalmology section, complaining of sudden bilateral red eye and haze-impaired vision. A standardized ophthalmologic examination and specific serological probes supported the diagnosis of severe bilateral ARNS in an immunocompetent child.Results: The reduced visual acuity (&lt;20/400), the ocular fundus signs (perivasculitis, thrombosis and retinal edema) and the positive immunoglobulin M anti-Epstein Barr virus serology, lead us to the ARNS definitive diagnosis. Antiviral therapy (Acyclovir; Zovirax&reg;), ciclopentolate dilating eye drops, and antiplatelet treatment (acetil salicylic acid; Aspirin&reg;) were administered until recovering the final visual acuity (20/40).Conclusions: The ARNS is an ocular disease with poor prognosis, which in turns may display better course when determining the etiopathogenic virus and selecting the appropriate and precocious therapy.Keywords: retinal necrosis, Epstein-Barr virus, antiviral serology, antiviral therapy
format	article
author	Roberto Gallego-Pinazo Miguel Harto Jose J Garcia-Medina Inmaculada Serra Enrique Espa&ntilde;a Maria D Pinazo-Duran
author_facet	Roberto Gallego-Pinazo Miguel Harto Jose J Garcia-Medina Inmaculada Serra Enrique Espa&ntilde;a Maria D Pinazo-Duran
author_sort	Roberto Gallego-Pinazo
title	Epstein-Barr virus and acute retinal necrosis in a 5-year-old immunocompetent child
title_short	Epstein-Barr virus and acute retinal necrosis in a 5-year-old immunocompetent child
title_full	Epstein-Barr virus and acute retinal necrosis in a 5-year-old immunocompetent child
title_fullStr	Epstein-Barr virus and acute retinal necrosis in a 5-year-old immunocompetent child
title_full_unstemmed	Epstein-Barr virus and acute retinal necrosis in a 5-year-old immunocompetent child
title_sort	epstein-barr virus and acute retinal necrosis in a 5-year-old immunocompetent child
publisher	Dove Medical Press
publishDate	2008
url	https://doaj.org/article/3bff0412c0da42f9888bd2685885f501
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Epstein-Barr virus and acute retinal necrosis in a 5-year-old immunocompetent child

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