Unilateral retrobulbar optic neuritis due to varicella zoster virus in a patient with AIDS: a case report and review of the literature.

Abstract:

:Unilateral retrobulbar optic neuritis developed in a 43-year-old man with acquired immune deficiency syndrome (AIDS). This was secondary to varicella zoster virus (VZV) as confirmed by cerebrospinal fluid (CSF) polymerase chain reaction (PCR) detection of VZV in the cerebrospinal fluid. There was no typical cutaneous infection and no evidence of retinitis. The onset of unexplained visual loss due to optic neuritis in HIV positive individuals may be due to VZV infection. Prompt recognition, and early intervention with antiVZV therapy may preserve vision. Retrobulbar optic neuritis secondary to VZV infection should be considered in immunocompromised patients even in the absence of cutaneous or retinal lesions. Previous cases are reviewed and the varied nature of viral transport in the nervous system is noted.

journal_name

J Neurol Sci

authors

Liu JZ,Brown P,Tselis A

doi

10.1016/j.jns.2005.05.005

subject

Has Abstract

pub_date

2005-10-15 00:00:00

pages

97-101

issue

1-2

eissn

0022-510X

issn

1878-5883

pii

S0022-510X(05)00187-5

journal_volume

237

pub_type

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