ABSTRACT
BACKGROUND: There are no published cases of tonic-clonic seizures and posterior bilateral blindness during pregnancy and Severe Acute Respiratory Syndrome (SARS) Coronavirus (COV) 2 (SARS-COV-2) infection. We do not just face new and unknown manifestations, but also how different patient groups are affected by SARS-COV-2 infection, such as pregnant women. Coronavirus Disease 2019 (COVID-19), preeclampsia, eclampsia and posterior reversible leukoencephalopathy share endothelium damage and similar pathophysiology. CASE PRESENTATION: A 35-year-old pregnant woman was admitted for tonic-clonic seizures and SARS-COV-2 infection. She had a normal pregnancy control and no other symptoms before tonic-clonic seizures development. After a Caesarean section (C-section) she developed high blood pressure, and we initiated antihypertensive treatment with labetalol, amlodipine and captopril. Few hours later she developed symptoms of cortical blindness that resolved in 72 h with normal brain computed tomography (CT) angiography. CONCLUSION: The authors conclude that SARS COV-2 infection could promote brain endothelial damage and facilitate neurological complications during pregnancy.
Subject(s)
Antihypertensive Agents/administration & dosage , Betacoronavirus/isolation & purification , Blindness, Cortical , Cesarean Section/methods , Coronavirus Infections , Eclampsia , Fibrinolytic Agents/administration & dosage , Pandemics , Pneumonia, Viral , Pregnancy Complications, Infectious , Seizures , Adult , Blindness, Cortical/diagnosis , Blindness, Cortical/virology , Brain/diagnostic imaging , COVID-19 , Computed Tomography Angiography/methods , Coronavirus Infections/diagnosis , Coronavirus Infections/physiopathology , Diagnosis, Differential , Eclampsia/diagnosis , Eclampsia/therapy , Eclampsia/virology , Female , Humans , Neurologic Examination/methods , Pneumonia, Viral/diagnosis , Pneumonia, Viral/physiopathology , Pregnancy , Pregnancy Complications, Infectious/diagnosis , Pregnancy Complications, Infectious/etiology , Pregnancy Complications, Infectious/physiopathology , Pregnancy Outcome , SARS-CoV-2 , Seizures/diagnosis , Seizures/etiology , Seizures/therapy , Tomography, X-Ray Computed/methods , Treatment OutcomeSubject(s)
Betacoronavirus/pathogenicity , Blindness, Cortical/virology , Coronavirus Infections/virology , Pneumonia, Viral/virology , Adult , Blindness, Cortical/complications , Blindness, Cortical/diagnostic imaging , COVID-19 , Coronavirus Infections/complications , Humans , Male , Pandemics , Pneumonia, Viral/complications , Pneumonia, Viral/diagnostic imaging , SARS-CoV-2ABSTRACT
Cytomegalovirus (CMV) is the leading cause of known congenital viral infections. Approximately 90% of congenitally infected newborns exhibit no clinical abnormalities at birth. In 5% to 15%, a wide spectrum of clinical signs is present at birth. Ophthalmological signs are seen in a large percentage of symptomatic patients but rarely in otherwise asymptomatic infants. Chorioretinitis, optic atrophy, and cortical visual impairment are the most frequent causes of visual problems in congenitally infected infants. There is no clear consensus in the literature on screening or treatment modalities concerning the ophthalmological aspects of congenital CMV. Further prospective studies are needed to set up guidelines for ophthalmological screening and treatment of infants with congenital CMV.
Subject(s)
Antiviral Agents/administration & dosage , Cytomegalovirus Retinitis , Neonatal Screening , Antibodies, Viral/blood , Blindness, Cortical/virology , Cytomegalovirus/genetics , Cytomegalovirus/immunology , Cytomegalovirus/isolation & purification , Cytomegalovirus Retinitis/congenital , Cytomegalovirus Retinitis/diagnosis , Cytomegalovirus Retinitis/drug therapy , DNA, Viral/analysis , Ganciclovir/administration & dosage , Ganciclovir/analogs & derivatives , Humans , Immunoglobulin M/blood , Infant, Newborn , Optic Atrophy/virology , Polymerase Chain Reaction , Time Factors , Valganciclovir , Viral Load , Virus CultivationABSTRACT
A 20-year-old woman infected with the 2009 H1N1 strain of influenza A developed bilateral visual loss. Brain MRI showed restricted diffusion of the parietal and occipital lobes, and her spinal fluid did not contain inflammatory cells. This report describes an unusual case of H1N1 influenza A virus infection primarily affecting the posterior visual pathways.
