title: Herpes zoster ophthalmicus in an otherwise-healthy child.
abstract: Herpes zoster ophthalmicus, although not uncommon in adults, is rarely found in children. Herein we present a case of pediatric herpes zoster ophthalmicus that is unique in 2 ways. First, the child had been vaccinated against varicella and otherwise had no known exposure to varicella-zoster virus. Second, the initial presentation of herpes zoster ophthalmicus was a painful and diffuse subconjunctival hemorrhage that appeared before any of its classic signs were observed. We report this case to document the possible occurrence of herpes zoster ophthalmicus in children who have been vaccinated against varicella and the possibility of a diffuse, painful subconjunctival hemorrhage as a presenting sign.
authors.affiliation: Sansum Santa Barbara Medical Foundation Clinic, Santa Barbara, California 93101, USA.
authors.forename: Nicholas R
authors.initials: NR
authors.lastname: Binder
authors.forename: Gary N
authors.initials: GN
authors.lastname: Holland
authors.forename: Stephen
authors.initials: S
authors.lastname: Hosea
authors.forename: Mark L
authors.initials: ML
authors.lastname: Silverberg
mesh_terms: D000998:Antiviral Agents / Q000627:therapeutic use; D019433:Chickenpox Vaccine / Q000008:administration & dosage; D002648:Child; D003229:Conjunctival Diseases / Q000175:diagnosis / Q000209:etiology; D005130:Eye Hemorrhage / Q000175:diagnosis / Q000209:etiology; D006563:Herpes Zoster Ophthalmicus / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D008297:Male; D014611:Vaccination
chemical_list: D000998:Antiviral Agents; D019433:Chickenpox Vaccine