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Atypical herpes simplex virus type 2 acute retinal necrosis presentation with large subretinal lesion.


ABSTRACT:

Purpose

To report the unique clinical findings of a case of Herpes Simplex Virus Type 2 herpetic retinitis manifesting as a large elevated subretinal lesion.

Observations

A 26-year-old Hispanic male with no significant past medical history presented with a one-week history of right eye pain and endorsement of worsening vision. Ophthalmic examination of the right eye identified a markedly elevated white subretinal lesion with associated findings of vitritis and hypotony. Ultrasound biomicroscopy demonstrated a diffusely thickened choroid and confirmed the observed subretinal mass. Examination of the fellow left eye was largely unremarkable with the exception of lesions suggestive of inactive chorioretinal scars. Diagnostic vitrectomy and vitreous PCR (polymerase chain reactio

SUBMITTER: Wang D 

PROVIDER: S-EPMC6599871 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature