Optic neuritis caused by varicella infection in an immunocompetent child

Pediatr Neurol. 2007 Aug;37(2):138-9. doi: 10.1016/j.pediatrneurol.2007.04.010.

Abstract

Chickenpox may lead to several neurologic complications, but optic neuritis has rarely been described. We report on a 6-year-old immunocompetent patient who presented with unilateral optic neuritis and severe visual loss because of varicella infection. A week after varicella eruption, the child experienced blurred vision. An examination revealed decreased visual acuity of his right eye, a right pupil poorly reactive to light, and almost no color vision in his right eye. A history of chickenpox, the fundus examination, and the measurement of visual-evoked potentials allowed us to make a diagnosis of optic neuritis caused by varicella infection. The patient received only symptomatic relief with antipyretics. Three months later, his visual acuity improved to 20/40 in the right eye.

Publication types

  • Case Reports

MeSH terms

  • Chickenpox / complications*
  • Chickenpox / immunology*
  • Child
  • Evoked Potentials, Visual
  • Humans
  • Immunocompetence*
  • Male
  • Optic Neuritis / diagnosis
  • Optic Neuritis / immunology*
  • Optic Neuritis / virology*
  • Visual Acuity