/ /

  • linkedin
  • Increase Font
  • Sharebar

    HHV-1, -2, -3: Precise medical management of herpetic nodular anterior scleritis

    An 80-year-old white man was referred to the uveitis clinic at the Vanderbilt Eye Institute, Nashville, TN, by an outside retina specialist for irritation, soreness, and floaters of the left eye for 3 months. During this time, he had “flared twice” while attempting to taper off topical difluprednate drops for presumed intermediate uveitis.
    Secondary ocular hypertension of the treated eye was being managed with twice-daily topical dorzolamide. Ophthalmic history was negative for surgeries or conditions except cataracts.

    He reported multiple tick bites about 8 to 10 years ago, and denied history of cold sores. Review of systems was positive for left-sided headache and increase in left-sided ear drainage, but otherwise negative.

    Diagnosed with Lyme disease, this patient had been treated with tetracycline for 1 month prior to referral. Past medical history was otherwise significant for coronary artery disease status post-stenting 2 months prior, hypertension, prostate cancer status post-radical prostatectomy 6 years previously, a vertebral fusion at levels L3 – L4, and a heel spur excision. There were no known drug allergies.

    Rheumatologic conditions, such as systemic lupus erythematous, rheumatoid arthritis, or osteoarthritis, were denied.

    He was a retired computer programmer born and permanently residing in western Tennessee, though he did travel on occasion to Central America, Europe, and Washington State, but not the Northeastern states.

    New Call-to-action


    You must be signed in to leave a comment. Registering is fast and free!

    All comments must follow the ModernMedicine Network community rules and terms of use, and will be moderated. ModernMedicine reserves the right to use the comments we receive, in whole or in part,in any medium. See also the Terms of Use, Privacy Policy and Community FAQ.

    • No comments available


    View Results