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.

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