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J Pediatr Infect Dis 2009; 04(03): 301-303
DOI: 10.3233/JPI-2009-0184
Case Report
Georg Thieme Verlag KG Stuttgart – New York

Bilateral optic neuritis in a patient with Kawasaki disease

Nida Yousef
a   Department of Pediatrics, Hurley Medical Center, Michigan State University, MI, USA
,
Ammar Alhmood
a   Department of Pediatrics, Hurley Medical Center, Michigan State University, MI, USA
,
Faisal Mawri
a   Department of Pediatrics, Hurley Medical Center, Michigan State University, MI, USA
,
Ahmad Kaddurah
b   Department of Pediatric Neurology, Hurley Medical Center, Michigan State University College of Human Medicine, MI, USA
,
David Diskin
c   Michigan Eye Institute, MI, USA
,
Walid Abuhammour
d   Department of Pediatric Infectious Disease, Hurley Medical Center, Michigan State University College of Human Medicine, MI, USA
› Author Affiliations
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Further Information

Publication History

02 August 2008

20 October 2008

Publication Date:
28 July 2015 (online)

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Abstract

We describe a 7-year-old male with a history of fever, headache, bilateral non-purulent conjunctivitis, and photophobia. Patient was initially treated for suspected bacterial meningitis with intravenous antibiotics. Due to lack of clinical response, negative cultures, and evolving signs of Kawasaki disease, he was treated with one dose of intravenous immunoglobulin. Patient improved except for the persistence of photophobia and bilateral conjunctival injection. Eye examination showed bilateral optic neuritis and a visual acuity of 20/80 in both eyes. Follow up eye examination after 6 weeks showed normal visual acuity, resolution of conjuctival injection, photophobia, and optic neuritis. This case highlights the posterior segment involvement in Kawasaki disease and the need for careful eye examination in patients with Kawasaki disease who have prolonged photophobia and conjunctival injection.

Keywords

Kawasaki disease - optic neuritis