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- W4387396812 abstract "The goal of this clinical case is to report a case of ophthalmic zoster in a five-year-old boy and to insist on the relevance of early antiviral treatment (aciclovir) so as to minimize corneal affection and preserve visual function. We report the case of a five-year-old boy of preschool age with no notable pathological history who came for consultation with a painful eruption affecting the forehead, the upper eyelid, the nose. The clinical examination showed many erythematous vesicles affecting the left hemi-face. The diagnosis of ophthalmic zoster has been retained. Minimum biological laboratory assessment is normal. The treatment was local antiseptic and systemic aciclovir with high dose for ten days. The evolution was favorable. Zoster is rare in children. The ophthalmic form is exceptional. The diagnosis is clinical and should mention some bladdery lesions grouped in bunches with a disposition which follows a metamere. It can be responsible for serious ocular complications. The particularity of our observation is the presence of zoster in an immunocompetent child and the ophthalmic localization, that remains exceptional in children. Le but de ce cas clinique est de rapporter un cas de zona ophtalmique chez un garçon de cinq ans et d’insister sur la pertinence d’un traitement antiviral précoce (aciclovir) afin de minimiser l’atteinte cornéenne et de préserver la fonction visuelle. Nous rapportons le cas d’un garçon de cinq ans, d’âge préscolaire, sans antécédents pathologiques notables, qui a consulté pour une éruption douloureuse touchant le front, la paupière supérieure, le nez. L’examen clinique montre de nombreuses vésicules érythémateuses touchant l’hémiface gauche. Le diagnostic de zona ophtalmique a été retenu. Le traitement a été local à base d’antiseptique et systémique par aciclovir à forte dose pendant dix jours. L’évolution a été favorable. Le zona est rare chez l’enfant. La forme ophtalmique est exceptionnelle. Le diagnostic est clinique, évoqué devant des lésions vésiculaires groupées en bouquet avec une disposition qui suit un métamère. Le zona ophtalmique peut être responsable de complications oculaires graves. La particularité de notre observation est l’existence d’un zona chez un enfant immunocompétent et la localisation ophtalmique, ce qui demeure une forme exceptionnelle chez l’enfant." @default.
- W4387396812 created "2023-10-07" @default.
- W4387396812 creator A5034243685 @default.
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- W4387396812 date "2023-10-01" @default.
- W4387396812 modified "2023-10-14" @default.
- W4387396812 title "Ophthalmic herpes zoster in an immunocompetent five-year-old child" @default.
- W4387396812 cites W2088284879 @default.
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- W4387396812 doi "https://doi.org/10.1016/j.jfo.2023.03.038" @default.
- W4387396812 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37806934" @default.
- W4387396812 hasPublicationYear "2023" @default.
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