Influenza-Induced Acute Macular Neuroretinopathy With Cerebral Involvement in a Ten-Year-Old Boy.

Ophthalmic Surgery, Lasers & Imaging Retina
Ryan A ShieldsSandeep Randhawa

Abstract

A 10-year-old male presented with 1-week duration of painless bilateral central vision loss after having been diagnosed with influenza A. Optical coherence tomography revealed superficial retinal nerve fiber layer infarcts, hyperreflectivity of the inner nuclear layer consistent with paracentral acute middle maculopathy (PAMM), and outer nuclear layer hyperreflectivity and disruption of the ellipsoid zone suggesting acute macular neuroretinopathy (AMN). Brain MRI revealed enhancement of the right basal ganglia consistent with focal encephalitis. He was diagnosed with presumed influenza-induced leukocytoclastic vasculitis (LCV) and treated with intravenous steroids. Influenza-induced LCV is a rare phenomenon and can present with AMN, PAMM, and encephalitis. [Ophthalmic Surg Lasers Imaging Retina. 2020;51:293-297.].

References

Mar 15, 2016·Survey of Ophthalmology·Kavita V BhavsarEmmett T Cunningham
May 18, 2016·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·W J BrownleeJ A Pereira
Sep 30, 2016·JAMA Ophthalmology·Aristomenis ThanosSandeep Randhawa
Nov 28, 2017·Retinal Cases & Brief Reports·Gabriel Rodríguez-Vargas, Juan C Gutiérrez-Hernández
Oct 21, 2018·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Mohammad Reza NiyoushaFaride Mousvi
Feb 15, 2019·Acta Ophthalmologica·Romain DeschampsMartine Mauget-Faÿsse
Feb 1, 2018·Ophthalmology Retina·Alia K DurraniStephen J Kim

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