Posters

Ophthalmic shingles in an infant: a case report

Poster Details

First Author: S.Belfaiza MOROCCO

Co Author(s): Y. Malek   M. Ashak   N. El Khenouchi   M. Khmamouch   K. Reda   A. Oubaaz     

Abstract Details

Purpose:

Pediatric herpes zoster  is unusual  and particularly the ophthalmic form, Prompt recognition and appropriate treatment is essential to reduce the chance of complications. We report here a rare case of herpes zoster blepharitis in an infant.

Setting:

Department of Ophthalmology, Mohammed V Military Teaching Hospital, Faculty of Medicine and Pharmacy, University of Mohammed V, Rabat, Morocco

Methods:

A 8-month-old boy , presented with eruptions on right  eyelids for the last 10 days. Elsewhere, the mother reports the notion of genital vesicles occurring during the 6th month of the pregnancy. The clinical examination finds right lower eyelid showed edema ,vesicular eruption and Skin ulcers covered by a crust . Slit lamp examination was normal .Patient was started on oral Acyclovir and local treatment  . The VZV serology carried out had recovered the presence of IgM, IgG and a negative result of the HSV serology. A minimal immune assessment was  normal. The rash resolved completely within 4 weeks.

Results:

It is very rare in children, only 8% according to the literature. The studies also have reported that few cases of infantile herpes zoster have the notion of maternal varicella during pregnancy as our case. The virus causes a painful rash of small blisters on a strip of skin anywhere on the body. Ocular complications occur in 50 to 70% of cases, with a prognosis often reserved. They are mainly represented by blepharitis, keratitis, conjunctivitis, uveitis, glaucoma and retinal necrosis. The peculiarity of the child's form is a predominance of general signs, a favorable evolution and exceptional post-zosterian pain.

Conclusions:

The peculiarity of our observation is the occurrence of herpes zoster in an immunocompetent child, without notion of anterior chickenpox and the ophthalmic localization which remains a rare form in the child.

Financial Disclosure:

None