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BMC Neurology

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Open Access 01-12-2021 | Herpes Virus | Case report

Herpes simplex virus type 1 related acute retinal necrosis following an encephalitis illness: a case report

Authors: Pingting Zhong, Siwen Zang, Honghua Yu, Xiaohong Yang

Published in: BMC Neurology | Issue 1/2021

Abstract

Background

Virus encephalitis is found to be a risk factor for acute retinal necrosis (ARN).

Case presentation

We herein presented a case of a 20-year-old teenage boy who suffered from encephalitis of unknown etiology with early negative pathologic results, and was primarily treated with systemic administration of high-dose steroids without antiviral therapy. He later had sudden vision loss in his right eye. Intravitreal and intravenous antiviral treatments were immediately started due to suspected ARN. Herpes simplex virus (HSV)-1 was identified later in the vitreous humor of the patient. After the surgery of retinal detachment (RD), obvious improvements in vision were observed. However, the patient had recurrent RD and vision declination 5 weeks later.

Conclusions

The case with suspected viral encephalitis should be treated with antiviral therapy regardless of early virologic results in order to avoid complications of a missed viral encephalitis diagnosis, especially if systemic steroid treatment is being considered.

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Title: Herpes simplex virus type 1 related acute retinal necrosis following an encephalitis illness: a case report
Authors: Pingting Zhong
Siwen Zang
Honghua Yu
Xiaohong Yang
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Herpes Virus
Retinal Detachment
Encephalitis
Published in: BMC Neurology / Issue 1/2021
Electronic ISSN: 1471-2377
DOI: https://doi.org/10.1186/s12883-021-02082-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Herpes simplex virus type 1 related acute retinal necrosis following an encephalitis illness: a case report

Abstract

Background

Case presentation

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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