Papillitis due to Epstein–Barr virus infection in an adult patient

Abstract Case report A 70-year-old woman who consulted due to poor vision in her right eye for 2 weeks. The examination showed a visual acuity (VA) of 0.6 and 1.0, with normal anterior pole and intraocular pressure and a relative afferent pupillary defect. Some papillitis was observed in the fundus...

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Bibliographic Details
Published inArchivos de la Sociedad Española de Oftalmología (English ed.) Vol. 89; no. 6; pp. 245 - 249
Main Authors Santos-Bueso, E, Sáenz-Francés, F, Méndez-Hernández, C, Martínez-de-la-Casa, J.M, García-Feijoo, J, Gegúndez-Fernández, J.A, García-Sánchez, J
Format Journal Article
LanguageEnglish
Published Elsevier España 01.06.2014
Subjects
Epstein Barr
Neuritis
Ophthalmology
Papilitis
Papillitis
Primary infection
Primoinfección
Virus
Virus
Epstein–Barr
Primoinfección
Primary infection
Neuritis
Papilitis
Papillitis
Epstein Barr
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Summary:Abstract Case report A 70-year-old woman who consulted due to poor vision in her right eye for 2 weeks. The examination showed a visual acuity (VA) of 0.6 and 1.0, with normal anterior pole and intraocular pressure and a relative afferent pupillary defect. Some papillitis was observed in the fundus of her right eye. The high levels of acute phase reactants led to an initial diagnosis of arteritic anterior ischemic optic neuropathy (AAION) and treatment with corticosteroids was started. Discussion According to the age of the patient, the fundus and the high levels of acute phase reactants, the initial diagnosis was AAION. However, the atypical papillitis features, with good AV and non-specific perimetry, together with a suitable medical history, and a profile of viral characteristics, with laboratory confirmation, led to the diagnosis of a primary papillitis infection due to Epstein–Barr virus, a very rare case due to the advanced age of the patient.
ISSN:2173-5794
2173-5794
DOI:10.1016/j.oftale.2013.05.003