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Abstract
A 13-year-old male presented with a corticosteroid-sensitive, varicella zoster virus (VZV)-related rapid loss of vision and bilateral disc edema after a febrile illness, and the case is reported from the University of Pittsburgh School of Medicine, Pittsburgh, PA.
Highlights
A 13-year-old male presented with a corticosteroid-sensitive, varicella zoster virus (VZV)-related rapid loss of vision and bilateral disc edema after a febrile illness, and the case is reported from the University of Pittsburgh School of Medicine, Pittsburgh, PA
Tapering of prednisone after 6 weeks was followed by recurrence of disc edema and visual loss, MRI showed T2-signal hyperintensities in the right insular and frontal cortex regions, and in the upper cervical cord
VZV may cause neurologic disease without a rash, and complications associated with viral reactivation include optic neuritis, aseptic neuritis, myelitis, and encephalitis
Summary
HCoV RNA has been demonstrated in the CSF and brain of MS patients, and in autopsy specimens of controls without neurologic disease. A 13-year-old male presented with a corticosteroid-sensitive, varicella zoster virus (VZV)-related rapid loss of vision and bilateral disc edema after a febrile illness, and the case is reported from the University of Pittsburgh School of Medicine, Pittsburgh, PA. Relapsingremitting, corticosteroid-sensitive, varicella zoster virus optic neuritis.
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