Influenza-Induced Acute Macular Neuroretinopathy With Cerebral Involvement in a Ten-Year-Old Boy.

Authors

Ryan A Shields, Beaumont Health Fellow
Sandra R Oska, Oakland University William Beaumont School of Medicine Medical Student
Nathan D Farley, Beaumont Health
Sandeep Randhawa, Beaumont Health

Document Type

Article

Publication Date

5-1-2020

Publication Title

Ophthalmic Surgery, Lasers & Imaging Retina

Abstract

A 10-year-old male presented with 1-week duration of painless bilateral central vision loss after having been diagnosed with influenza A. Optical coherence tomography revealed superficial retinal nerve fiber layer infarcts, hyperreflectivity of the inner nuclear layer consistent with paracentral acute middle maculopathy (PAMM), and outer nuclear layer hyperreflectivity and disruption of the ellipsoid zone suggesting acute macular neuroretinopathy (AMN). Brain MRI revealed enhancement of the right basal ganglia consistent with focal encephalitis. He was diagnosed with presumed influenza-induced leukocytoclastic vasculitis (LCV) and treated with intravenous steroids. Influenza-induced LCV is a rare phenomenon and can present with AMN, PAMM, and encephalitis. [Ophthalmic Surg Lasers Imaging Retina. 2020;51:293-297.].

Volume

51

Issue

5

First Page

293

Last Page

297

Recommended Citation

Shields RA, Oska SR, Farley ND, Randhawa S. Influenza-Induced Acute Macular Neuroretinopathy With Cerebral Involvement in a Ten-Year-Old Boy. Ophthalmic Surg Lasers Imaging Retina. 2020 May 1;51(5):293-297. doi: 10.3928/23258160-20200501-08. PMID: 32511734.

DOI

10.3928/23258160-20200501-08

ISSN

2325-8179

PubMed ID

32511734