• Ophthalmologe · Jul 2004

    Case Reports

    [Bilateral influenza-triggered panuveitis and subsequent therapy with amantadine and hyperimmunoglobulins].

    • H O C Gümbel, K J Lipke, H-G Schäfer, I Cinatl, and L O Hattenbach.
    • Augenabteilung, Bundeswehrkrankenhaus, Ulm. hermann.guembel@extern.uni-ulm.de
    • Ophthalmologe. 2004 Jul 1; 101 (7): 720-4.

    BackgroundInfluenza A is one type of influenza virus that commonly causes acute respiratory illness. Outbreaks of influenza occur every year. Major antigenic variations preclude permanent immunity in the population. Often signs of conjunctivitis or photophobia are common during acute infection. Posterior uveitis is very rare.PatientA young lady with a diagnosed anterior uveitis was sent for further evaluation to the eye department with a known history of flu.ResultsThis patient had a severe ocular manifestation of influenza A infection. There was bilateral panuveitis with keratic precipitates, cells and flare, and an impressive retinopathy in both eyes. Serology was positive for influenza A.ConclusionThe course of an influenza A infection is usually uncomplicated. Severe affection of the choriocapillaris results in a complicated post-influenza retinal pigmentary degeneration. Treatment with amantadine and therapy with hyperimmunoglobulins seem to be useful.

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