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Ophthalmic Shingles in Children: A Rare Form and a Danger to Be Aware of

Hassnae Tkak1, Aziza Elouali1, Ayad Ghanam1

  • 1Department of Pediatrics, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, MAR.

Cureus
|July 1, 2024
PubMed

Insights

Pediatric shingles, particularly ophthalmic shingles, is rare but usually benign in healthy children. Early antiviral treatment is crucial for complicated cases to prevent severe eye complications and preserve vision.

Area of Science:

  • Ophthalmology
  • Pediatrics
  • Infectious Diseases

Background:

  • Shingles (herpes zoster) is uncommon in children, with the ophthalmic form being exceptionally rare.
  • While typically benign and managed symptomatically in immunocompetent children, complicated cases can arise, especially in immunocompromised individuals or with ocular involvement.

Observation:

  • This case report details ophthalmic shingles in a two-year-old immunocompetent child.
  • The presentation highlights a rare occurrence of a typically adult-associated viral infection in early childhood.

Findings:

  • Ophthalmic shingles in immunocompetent children, though rare, can lead to severe ocular complications if not managed promptly.
  • Early intervention with antiviral therapy is key to preventing corneal involvement and safeguarding visual function.

Implications:

  • Emphasizes the need for heightened awareness and prompt diagnosis of ophthalmic shingles in pediatric patients.
  • Underscores the critical role of early antiviral treatment in mitigating long-term visual impairment from herpes zoster ophthalmicus in children.

Keywords:
childcomplicationherpes virusimmunityophthalmic shingles

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