Roquelaure D, Harbarth S, Schutz J S, Thumann G, Chronopoulos A
Department of Ophthalmology, University Hospitals and School of Medicine, 22 Rue Alcide-Jentzer, Geneva, 1205, Switzerland.
Infection Control Program, University Hospitals and School of Medicine, Geneva, Switzerland.
Ophthalmologe. 2016 Oct;113(10):864-866. doi: 10.1007/s00347-016-0229-5.
This article reports a case of an Epstein-Barr virus (EBV) associated acute retinal necrosis. A 72-year-old male patient presented in the emergency department complaining of progressive loss of vision. During patient management an acute retinal necrosis was suspected and the subsequent diagnostics from a vitreal body biopsy showed positive results only for the EBV genome.
The EBV is a rare cause of ocular inflammation. With this report we would like to draw the attention of colleagues to this unusual finding.
Although EBV screening is not part of the standard diagnostic procedure, its implementation in relevant clinical situations could possibly assist the differentiation between causal relationship and morbidity.
本文报告一例与爱泼斯坦-巴尔病毒(EBV)相关的急性视网膜坏死病例。一名72岁男性患者因视力进行性下降就诊于急诊科。在对患者的治疗过程中怀疑为急性视网膜坏死,随后玻璃体活检的诊断结果显示仅EBV基因组呈阳性。
EBV是眼部炎症的罕见病因。通过本报告,我们希望引起同行对这一不寻常发现的关注。
尽管EBV筛查并非标准诊断程序的一部分,但在相关临床情况下实施EBV筛查可能有助于区分因果关系和发病率。