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Ophthalmic herpes zoster in an 18-month-old child
Jaishree Gandhewar1, Wayne Birchall, Jeffery Kwartz
1Eye Unit, Royal Bolton Hospital, Bolton, England.
Insights
Herpes zoster ophthalmicus occurred in an 18-month-old infant, likely due to early varicella zoster virus exposure via breastfeeding. This case highlights rare pediatric herpes zoster occurrences.
Area of Science:
- Ophthalmology
- Pediatrics
- Virology
Background:
- Herpes zoster ophthalmicus (HZO) is rare in young children.
- Varicella zoster virus (VZV) causes both chickenpox and shingles.
Observation:
- An 18-month-old child presented with HZO.
- The child was breastfed and had early VZV exposure.
Findings:
- Early VZV exposure during breastfeeding may lead to HZO in infants.
- This case contributes to understanding the incidence of herpes zoster in children under two.
Implications:
- Pediatricians and ophthalmologists should consider VZV reactivation in infants with HZO.
- Early diagnosis and management are crucial for preventing vision complications.
Abstract:
We present a case of herpes zoster ophthalmicus in an 18-month-old child. Early exposure to varicella zoster virus while being breast-fed appears to account for this clinical presentation. The incidence of herpes zoster in children younger than age 2 years is discussed.
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