Herpes simplex encephalitis presenting after steroid treatment of panuveitis

K Nadia Wittles, Lucy A Goold and Jagjit S Gilhotra
Med J Aust 2011; 195 (2): 87-88.

A 62-year-old woman with an autoimmune disease presented with panuveitis and was treated with immune suppression. She subsequently developed herpetic acute retinal necrosis and later died of herpes simplex encephalitis. Acute retinal necrosis usually occurs months to years after herpes simplex encephalitis. In our case, the ocular findings were present for 5 weeks before the encephalitis presented. To our knowledge, this is the first Australian case of acute retinal necrosis preceding herpes simplex encephalitis. (MJA 2011; 195: 87-88)

A 62-year-old woman was referred to our hospital after a left-sided uveitis failed to respond to both topical and systemic steroids.

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  • K Nadia Wittles1
  • Lucy A Goold1,2
  • Jagjit S Gilhotra1,2

  • 1 Royal Adelaide Hospital, Adelaide, SA.
  • 2 Queen Elizabeth Hospital, Adelaide, SA.

Competing interests:

None relevant to this article declared (ICMJE disclosure forms completed).

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