关键词: Aciclovir Child Enfant Immunocompetent Immunocompétent Ophthalmic zoster Varicella zoster virus Virus de la varicelle et du zona Zona ophtalmique

Mesh : Humans Male Herpes Zoster Ophthalmicus / diagnosis drug therapy complications Child, Preschool Immunocompetence Acyclovir / therapeutic use administration & dosage Antiviral Agents / therapeutic use

来  源:   DOI:10.1016/j.jfo.2023.03.038

Abstract:
OBJECTIVE: The goal of this clinical case is to report a case of ophthalmic zoster in a five-year-old boy and to insist on the relevance of early antiviral treatment (aciclovir) so as to minimize corneal affection and preserve visual function.
METHODS: We report the case of a five-year-old boy of preschool age with no notable pathological history who came for consultation with a painful eruption affecting the forehead, the upper eyelid, the nose. The clinical examination showed many erythematous vesicles affecting the left hemi-face. The diagnosis of ophthalmic zoster has been retained. Minimum biological laboratory assessment is normal. The treatment was local antiseptic and systemic aciclovir with high dose for ten days. The evolution was favorable. Zoster is rare in children. The ophthalmic form is exceptional. The diagnosis is clinical and should mention some bladdery lesions grouped in bunches with a disposition which follows a metamere. It can be responsible for serious ocular complications.
CONCLUSIONS: The particularity of our observation is the presence of zoster in an immunocompetent child and the ophthalmic localization, that remains exceptional in children.
摘要:
目的:此例临床病例的目的是报告一例5岁男孩的眼部带状疱疹,并坚持早期抗病毒治疗(阿昔洛韦)的相关性,以最大程度地减少角膜影响并保持视觉功能。
方法:我们报告了一个五岁的学龄前男孩,没有明显的病理史,他因额头疼痛的爆发而来咨询,上眼睑,鼻子。临床检查显示许多红斑囊泡影响左侧半面。眼科带状疱疹的诊断已保留。最低生物实验室评估正常。治疗是局部防腐剂和全身阿昔洛韦,高剂量治疗10天。进化是有利的。带状疱疹在儿童中很少见。眼科形式是例外的。诊断是临床的,应该提到一些成束的膀胱病变,其分布遵循一个元序列。它可能导致严重的眼部并发症。
结论:我们观察的特殊性是有免疫能力的儿童中带状疱疹的存在和眼科定位,这在儿童中仍然是例外。
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