6 results on '"Retinal Necrosis Syndrome, Acute etiology"'
Search Results
2. Perioptic neuritis related with varicella-zoster virus infection preceding sixth cranial nerve palsy and progressive outer retinal necrosis in a immunocompetent patient.
- Author
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Ryu J, Park KA, Oh SY, Kim SJ, Cho K, Min JH, and Kim BJ
- Subjects
- Abducens Nerve Diseases diagnostic imaging, Abducens Nerve Diseases drug therapy, Aged, Diagnosis, Differential, Disease Progression, Herpesviridae Infections diagnostic imaging, Herpesviridae Infections drug therapy, Humans, Male, Retinal Necrosis Syndrome, Acute diagnostic imaging, Retinal Necrosis Syndrome, Acute drug therapy, Abducens Nerve Diseases diagnosis, Abducens Nerve Diseases etiology, Herpesviridae Infections complications, Herpesviridae Infections diagnosis, Herpesvirus 3, Human, Retinal Necrosis Syndrome, Acute diagnosis, Retinal Necrosis Syndrome, Acute etiology
- Published
- 2017
- Full Text
- View/download PDF
3. [Herpes and retinal lesions: what's new?].
- Author
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Fardeau C, Slimane H, and Lehoang P
- Subjects
- AIDS-Related Opportunistic Infections diagnosis, AIDS-Related Opportunistic Infections drug therapy, AIDS-Related Opportunistic Infections pathology, AIDS-Related Opportunistic Infections virology, Antiretroviral Therapy, Highly Active, Antiviral Agents administration & dosage, Antiviral Agents therapeutic use, Diagnosis, Differential, Drug Resistance, Viral, Humans, Oligonucleotides, Antisense therapeutic use, Opportunistic Infections diagnosis, Opportunistic Infections drug therapy, Opportunistic Infections pathology, Opportunistic Infections virology, Optic Neuritis etiology, Retinal Detachment etiology, Retinal Necrosis Syndrome, Acute etiology, Retinitis complications, Retinitis diagnosis, Retinitis drug therapy, Cytomegalovirus Retinitis complications, Cytomegalovirus Retinitis diagnosis, Cytomegalovirus Retinitis drug therapy, Herpes Simplex complications, Herpes Simplex diagnosis, Herpes Simplex drug therapy, Herpes Zoster Ophthalmicus complications, Herpes Zoster Ophthalmicus diagnosis, Herpes Zoster Ophthalmicus drug therapy, Retinitis virology
- Abstract
The viral retinitis are linked to infection by herpes simplex virus (HSV), varicella zoster virus (VZV), cytomegalovirus (CMV). When the diagnosis is clinically suspected the antiviral treatment has to be introduced immediately after performing the ocular sampling to try to identify the infectious agent. Despite the various antiherpetic drugs available by intravenous routes and intravitreal injection, the prognostic of the herpetic retinitis remained severe because of the occurrence of retinal detachment, optic neuritis, macular necrosis. Various clinical forms are described: (1) the classical "acute necrotizing retinitis" (2) a form with a slow progression of the necrotizing retinitis (3) occlusive retinal arteritis (4) the highly severe "progressive retinal necrosis". The incidence of the CMV retinitis diminished with the highly antiretroviral therapy; however uveitis may occur with no active CMV retinitis. The various antiherpetic drugs are described with special indications.
- Published
- 2002
- Full Text
- View/download PDF
4. Progressive outer retinal necrosis caused by herpes simplex virus type 1 in a patient with acquired immunodeficiency syndrome.
- Author
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Kashiwase M, Sata T, Yamauchi Y, Minoda H, Usui N, Iwasaki T, Kurata T, and Usui M
- Subjects
- AIDS-Related Opportunistic Infections pathology, AIDS-Related Opportunistic Infections virology, Adult, Antigens, Viral analysis, Cytomegalovirus immunology, Cytomegalovirus Retinitis complications, Cytomegalovirus Retinitis pathology, Cytomegalovirus Retinitis virology, Disease Progression, Eye Infections, Viral pathology, Eye Infections, Viral virology, Fatal Outcome, Herpes Simplex pathology, Herpes Simplex virology, Herpesvirus 1, Human immunology, Humans, Immunoenzyme Techniques, Male, Retinal Necrosis Syndrome, Acute pathology, Retinal Necrosis Syndrome, Acute virology, AIDS-Related Opportunistic Infections complications, Eye Infections, Viral etiology, Herpes Simplex complications, Herpesvirus 1, Human isolation & purification, Retinal Necrosis Syndrome, Acute etiology
- Abstract
Objective/background: To identify the etiologic agent of rapidly progressive outer retinal necrosis (PORN) in a 32-year-old man with acquired immunodeficiency syndrome (AIDS), who had retinitis developed from cytomegalovirus (CMV). Multiple yellowish spots appeared in the deep retina without evidence of intraocular inflammation or retinal vasculitis, diagnosed clinically as PORN. Death occurred after failure of multiple organs., Design: Case report., Methods: Both globes were taken at autopsy, fixed in formalin, and examined histopathologically and immunohistochemically to identify causative agents in the retinal lesions., Main Outcome Measure: Immunohistochemistry., Results: All layers of the retina were severely damaged and contained focal calcification. Cytomegalic inclusion bodies were found in cells in the damaged retina of the right eye. Immunohistochemical studies for herpesviruses revealed the presence of CMV antigens in the right retina at the posterior pole and herpes simplex virus type 1 (HSV-1)-specific antigen in the periphery of both retinas. No varicella-zoster virus (VZV) antigen was detected in either retina., Conclusions: PORN has been described as a variant of necrotizing herpetic retinopathy, occurring particularly in patients with AIDS. Although the etiologic agent has been reported to be VZV, HSV-1 can be an etiologic agent.
- Published
- 2000
- Full Text
- View/download PDF
5. HSV-1--induced acute retinal necrosis syndrome presenting with severe inflammatory orbitopathy, proptosis, and optic nerve involvement.
- Author
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Tornerup NR, Fomsgaard A, and Nielsen NV
- Subjects
- Acyclovir therapeutic use, Adult, Antibodies, Viral analysis, DNA, Viral analysis, Exophthalmos diagnosis, Exophthalmos drug therapy, Eye Infections, Viral diagnosis, Eye Infections, Viral drug therapy, Female, Fluorescein Angiography, Herpes Simplex diagnosis, Herpes Simplex drug therapy, Herpesvirus 1, Human genetics, Herpesvirus 1, Human immunology, Humans, Magnetic Resonance Imaging, Optic Neuritis diagnosis, Optic Neuritis drug therapy, Orbital Pseudotumor diagnosis, Orbital Pseudotumor drug therapy, Polymerase Chain Reaction, Prednisolone therapeutic use, Retinal Necrosis Syndrome, Acute diagnosis, Retinal Necrosis Syndrome, Acute drug therapy, Tomography, X-Ray Computed, Vitreous Body virology, Exophthalmos etiology, Eye Infections, Viral etiology, Herpes Simplex complications, Herpesvirus 1, Human isolation & purification, Optic Neuritis etiology, Orbital Pseudotumor etiology, Retinal Necrosis Syndrome, Acute etiology
- Abstract
Objective: To present a unique case in which orbital inflammation, proptosis, and optic neuritis were the initial symptoms of acute retinal necrosis (ARN). The clinical presentation of ARN, as well as the currently recommended diagnostic procedures and guidelines for medical treatment of ARN, are summarized., Design: Interventional case report., Testing: Polymerase chain reaction (PCR) techniques were made on the vitreous for cytomegalovirus, Epstein-Barr virus, herpes simplex virus (HSV), varicella zoster virus, and toxoplasmosis. A full laboratory evaluation was made together with HLA-typing and serologic tests measuring convalescent titers for HSV and other micro-organisms. Magnetic resonance imaging scan, computed tomography (CT) scan, and fluorescein angiographic examination were performed. The patient was treated with acyclovir and oral prednisone., Main Outcome Measures: The patient was evaluated for initial and final visual acuity and for degree of proptosis, periocular edema, and vitreitis., Results: The first symptoms and signs of ARN were eye pain, headache, proptosis, and a swollen optic nerve on CT scan. Other than increased C-reactive protein, all blood samples were normal. PCR was positive for HSV-type I in two separate vitreous biopsies. The patient had the strongly ARN-related specificity HLA-DQ7., Conclusions: This is the first report of HSV-induced ARN presenting with inflammatory orbitopathy and optic neuritis. Polymerase chain reaction for HSV-1 was positive more than 4 weeks after debut of symptoms, which is a new finding. The combination of severe vitreitis and retinal whitening, with or without proptosis, should alert the clinician to the possibility of herpes infection and treatment with intravenous acyclovir started promptly.
- Published
- 2000
- Full Text
- View/download PDF
6. Chickenpox-associated acute retinal necrosis syndrome.
- Author
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Culbertson WW, Brod RD, Flynn HW Jr, Taylor BC, Brod BA, Lightman DA, and Gordon G
- Subjects
- Acyclovir therapeutic use, Adult, Antibodies, Viral analysis, Chickenpox drug therapy, Child, Female, Fundus Oculi, Herpesvirus 3, Human immunology, Humans, Male, Prednisone therapeutic use, Retinal Necrosis Syndrome, Acute drug therapy, Visual Acuity, Chickenpox complications, Retinal Necrosis Syndrome, Acute etiology
- Abstract
Acute retinal necrosis (ARN) syndrome usually occurs as the result of secondary reactivation of latent, previously acquired, varicella-zoster or herpes simplex virus. The authors report four patients who developed a mild form of ARN within 1 month (5 to 28 days) after the onset of chickenpox. In contrast to typical cases of ARN, these cases were less severe, with retinitis limited to two quadrants or less (three patients), no retinal detachment (four patients), minimal vitreitis (four patients), and no loss of visual acuity (four patients). Thus, ARN may occur during the course of primary varicella-zoster infection.
- Published
- 1991
- Full Text
- View/download PDF
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