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SARS-CoV-2 proteins

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    Varicella Zoster Virus Induced Acute Retinal Necrosis Following Acute Meningoencephalitis in a Patient with Presumed COVID-19 MESHD

    Authors: Kiana Hassanpour; Faezeh Khorasanizadeh; Hamid Ahmadieh; Mahmood Nabavi; Narsis Daftarian; Alireza Ramezani

    doi:10.21203/rs.3.rs-54356/v1 Date: 2020-08-05 Source: ResearchSquare

    Background: To report the coincidence of acute retinal necrosis syndrome MESHD ( ARN MESHD) following acute meningoencephalitis MESHD and presumed coronavirus disease 2019 MESHD ( COVID-19 MESHD) in an immunocompetent patient. Case presentation: A 58-year old female presented to our emergency department complaining of sudden unilateral visual loss MESHD following a recent hospitalization for a viral meningoencephalitis MESHD. Magnetic resonance imaging (MRI), cerebrospinal fluid ( CSF HGNC) analysis, polymerase chain reaction (PCR) of the aqueous humor, reverse transcriptase polymerase chain reaction (RT-PCR) of the nasopharyngeal swab specimen, chest computed tomography (CT), and fundus photography were performed for the patient. Ophthalmic examination revealed severe ocular inflammation MESHD and yellowish patches of necrotizing retinitis MESHD in the right eye compatible with the diagnosis of ARN MESHD. The result of PCR on the aqueous humor was positive for VZV. The patient received one intravitreal ganciclovir injection and 10 days intravenous ganciclovir followed by oral acyclovir. The patient underwent COVID-19 MESHD screening tests; chest CT-scan showed the features highly suggestive for COVID-19 MESHD while the RT-PCR was negative two times. Two months later, BCVA reached 20/70 in the right eye. The anterior chamber reaction and KPs resolved and the vitreous haziness significantly decreased Conclusion: A case of VZV induced ARN MESHD following acute meningoencephalitis MESHD was observed in association with presumed COVID-19 MESHD. This could be an incidental finding in the pandemic era of COVID-19 MESHD; however, it could also suggest that COVID-19 MESHD might trigger ARN MESHD in cases having latent herpes family viruses. 

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MeSH Disease
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SARS-CoV-2 Proteins


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