Anterior uveitis and vasculitis in primary infection with VZV in a diabetic patient.

Emma Marín Payá, Marina Aguilar González, Miriam Rahhal Ortuño, Paula Martínez López-Corell, María Andreu Fenoll, Patricia Udaondo Mirete
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引用次数: 1

Abstract

We present a case of ocular involvement in the context of a varicella zoster virus primary infection, in a 30-year-old man with type 1 diabetes. The ophthalmological examination revealed unilateral anterior uveitis resistant to topical treatment, which was complicated by association of vitritis and onset of retinal vasculitis diagnosed by angiography fluorescein. Herpetic eye involvement was confirmed by anterior chamber PCR for varicella- zoster virus. In addition, we started the treatment with oral valacyclovir 1 gram every 8 hours and 15 mg oral corticosteroid with very satisfactory results, without observing any side effects. Very few cases have been published on this topic, given the low prevalence of this ocular complication.

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1例糖尿病患者VZV原发感染并发前葡萄膜炎和血管炎。
我们提出一个病例在水痘带状疱疹病毒原发感染的背景下眼部受累,在一个30岁的1型糖尿病患者。眼科检查发现单侧前葡萄膜炎,局部治疗无效,并发玻璃体炎和视网膜血管炎,经血管造影荧光素诊断。采用前房PCR检测水痘-带状疱疹病毒,证实疱疹性眼部受累。此外,我们开始了口服伐昔洛韦1克每8小时和口服皮质类固醇15毫克的治疗,非常满意的结果,没有观察到任何副作用。鉴于这种眼部并发症的低患病率,很少有病例被发表。
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