Bilateral optic neuritis in acute human immunodeficiency virus infection

Acta Ophthalmol Scand. 1998 Dec;76(6):737-8. doi: 10.1034/j.1600-0420.1998.760623.x.

Abstract

Purpose: To report a case of acute viral disease accompanied by bilateral optic neuritis with substantial paraclinical evidence that human immunodeficiency virus was the causative agent.

Methods: Clinical and paraclinical examination. Magnetic resonance imaging.

Results: Virus and antibody titers as well as reverse lymphocytosis were consistent with acute infection by the human immunodeficiency virus-1.

Conclusions: Human immunodeficiency virus infection should be considered in the differential diagnosis of acute optic neuritis.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Acyclovir / therapeutic use
  • Adult
  • Diagnosis, Differential
  • Enzyme-Linked Immunosorbent Assay
  • Eye Infections, Viral / diagnosis
  • Eye Infections, Viral / drug therapy
  • Eye Infections, Viral / virology*
  • Female
  • HIV Antibodies / analysis
  • HIV Infections / diagnosis
  • HIV Infections / drug therapy
  • HIV Infections / virology*
  • HIV-1* / genetics
  • HIV-1* / immunology
  • Humans
  • Magnetic Resonance Imaging
  • Optic Nerve / pathology
  • Optic Neuritis / diagnosis
  • Optic Neuritis / drug therapy
  • Optic Neuritis / virology*
  • Polymerase Chain Reaction
  • Prednisolone / therapeutic use
  • RNA, Viral / analysis

Substances

  • HIV Antibodies
  • RNA, Viral
  • Prednisolone
  • Acyclovir