A case of non-necrotising herpetic retinitis.

Atypical ocular toxoplasmosis Herpectic uveitis Non-necrotizing herpetic retinitis Posterior viral uveitis Retinitis herpética no necrotizante Retinitis viral Toxoplasmosis ocular atípica Uveítis herpética Uveítis viral posterior Viral retinitis

Journal

Archivos de la Sociedad Espanola de Oftalmologia
ISSN: 2173-5794
Titre abrégé: Arch Soc Esp Oftalmol (Engl Ed)
Pays: Spain
ID NLM: 101715860

Informations de publication

Date de publication:
May 2022
Historique:
received: 12 10 2020
accepted: 15 12 2020
entrez: 8 5 2022
pubmed: 9 5 2022
medline: 11 5 2022
Statut: ppublish

Résumé

In developed countries, the main etiology of posterior uveitis is of infectious origin, Herpes is the most common viral agent as it has a wide spectral of ocular manifestations. These manifestations could depend on the patient's immunologic state, ranging from a mild focal form of non-necrotizing herpetic renitis (NNHR) to a severe form of Acute retinal necrosis (ARN). We present a case of NNHR by VHS 2 and the different differential diagnostics previous to its diagnosis: atypical ocular toxoplasmosis, ocular tuberculosis and ARN. During its evolution, it presented a drastic drop in the visual acuity despite of the antiviral treatment, and with systemic corticoids and the injury's clinical improvement. This event led to reevaluate the suspected entities, establishing the NNHR as a definitive diagnostic by exclusion that constituted a challenging diagnostic.

Identifiants

pubmed: 35526954
pii: S2173-5794(21)00183-3
doi: 10.1016/j.oftale.2020.12.019
pii:
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

295-299

Informations de copyright

Copyright © 2021 Sociedad Española de Oftalmología. Published by Elsevier España, S.L.U. All rights reserved.

Auteurs

F Arenas-Canchuja (F)

Instituto Nacional de Oftalmología Dr. Francisco Contreras Campos, Lima, Peru. Electronic address: farenas88.fa@gmail.com.

B Campos-Dávila (B)

Departamento de Atención Especializada en Úvea, Instituto Nacional de Oftalmología Dr. Francisco Contreras Campos, Lima, Peru.

V Valderrama-Albino (V)

Departamento de Atención Especializada en Úvea, Instituto Nacional de Oftalmología Dr. Francisco Contreras Campos, Lima, Peru.

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Classifications MeSH