Epiretinal membrane in a 12-year-old immunocompetent girl with cytomegalovirus infection

Ciro Costagliola, Mario R. Romano, Francesco Parmeggiani, Roberto Dell'Omo, Rosario Cultrera

Research output: Contribution to journalArticle

Abstract

PURPOSE. To report the case of a 12-year-old immunocompetent girl presenting bilateral epiretinal membrane formation in conjunction with systemic human cytomegalovirus (HCMV) infection. METHODS. The patient had a sudden onset of blurred vision and floaters in both eyes. Her medical history was unremarkable, except for allergic asthma that she had had for several years and that she was treating with inhaler corticosteroids prescribed by her pediatrician. The patient underwent a complete ophthalmic examination and serologic blood test. RESULTS. The ocular examination revealed an epiretinal membrane confirmed by optical coherence tomography, which showed a band of high optical reflectivity compatible with a proliferation of abnormal tissue on the surface of the retina. The patient had serologic evidence of exposure to HCMV, which was verified by a strongly positive HCMV IgM antibody test result (320 IU), with detectable IgG antibodies against HCMV, which significantly rose further in consecutive blood samples, due to IgG antibody seroconversion. CONCLUSIONS. Our patient had allergic asthma that she was treating with inhaled corticosteroids. The immunosuppressive properties of corticosteroids could induce endogenous reactivation of latent HCMV.

Original languageEnglish
Pages (from-to)1098-1101
Number of pages4
JournalEuropean Journal of Ophthalmology
Volume19
Issue number6
Publication statusPublished - Nov 2009

Keywords

  • Cytomegalovirus
  • Cytomegalovirus reactivation
  • Epiretinal membrane
  • Human cytomegalovirus infection

ASJC Scopus subject areas

  • Ophthalmology

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    Costagliola, C., Romano, M. R., Parmeggiani, F., Dell'Omo, R., & Cultrera, R. (2009). Epiretinal membrane in a 12-year-old immunocompetent girl with cytomegalovirus infection. European Journal of Ophthalmology, 19(6), 1098-1101.