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Letter
Coxsackievirus B4 associated uveoretinitis in an adult
  1. M Takeuchi,
  2. J Sakai,
  3. M Usui
  1. Tokyo Medical University, 6-7-1 Nishishinjuku Shinjuku-Ku, Tokyo, Japan
  1. Correspondence to: Masaru Takeuchi; takeuchi{at}tokyo-med.ac.jp

https://doi.org/10.1136/bjo.87.4.501

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    Coxsackievirus is a kind of enterovirus, which may cause respiratory and gastrointestinal symptoms, erythema, meningoencephalitis, myocarditis, pericarditis, and myositis. Although Coxsackievirus B4 is apparently a rare cause of chorioretinitis, Coxsackievirus infection and concurrent posterior segment inflammation have been disclosed in a few cases. However, iridocyclitis, scattered haemorrhagic dots, and occlusive retinal vasculitis have not previously reported as being features of Coxsackievirus B4 infectious ocular disease.

    Case report

    A 34 year old man was referred to our hospital with a 2 week history of inferior visual field defect and visual loss in his right eye. His left eye was asymptomatic. A few days before the onset of visual manifestations, the patient noted a prodrome of viral infection, consisting of severe headache and high grade fever of 38.0–39.2°C, joint pain, and general malaise. There was no significant medical or family history. At the initial ophthalmic examination, his best corrected visual …

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