Acute Retinal Necrosis Revealing HIV Infection in an 11 Year Old Girl

VA Dohvoma, Stève Robert Ebana Mvogo, PW Atipo-Tsiba, Odile Nga Obama, Godefroy Koki, Emilienne Epée, Côme Ebana Mvogo

Abstract


Acute retinal necrosis (ARN) may reveal immunosuppression from HIV infection. The authors report a case in an 11 year old girl who was referred from a health centre for progressive decreasing vision in the left eye. Examination of this eye revealed a blind eye from complicated panuveitis. She tested positive for HIV. Anti-retroviral therapy was started after a paediatric consult. Two weeks later, she developed ARN in the right eye. Response to systemic antiviral therapy was favourable. Bilateral blindness was prevented due to prompt and adequate treatment. We recommend routine HIV testing in all patients with uveitis.

RÉSUMÉ
La nécrose rétinienne aigue peut révéler une infection à VIH. Nous rapportons le cas d’une patiente de 11 ans, référée d’un centre de santé pour une meilleure prise en charge d’une baisse progressive de l’acuité visuelle à l’œil gauche. L’examen de cet œil a montré qu’il était aveugle des suites d’une panuvéite. La sérologie HIV demandée est revenue positive. Par la suite, l’enfant a été vue par un pédiatre qui l’a mise sous un traitement antirétroviral. Deux semaines plus tard, elle a développé des plages de nécrose rétinienne à l’œil droit. L’évolution sous traitement antiviral par voie générale a été favorable. Ceci a permis d’éviter la cécité bilatérale chez cet enfant. Nous recommandons la recherche systématique du VIH dans les uvéites.


Keywords


Acute retinal necrosis, HIV, blindness

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References


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