Edema de papila como pródromo de varicela en un paciente pediátrico

An Optic Swollen Disc is a neuro-ophthalmological disease manifestation which etiologic diagnosis on children differs from adults, the causes might be vascular, infectious, autoimmune, toxic, ischemic and compressive. On a pediatric patient, it can be related to systemic conditions such as pseudotumor cerebri, arterial hypertension, juvenile diabetes and neoplasia. On this case, we introduce a female 10 year-old patient who attended the emergency department of Asociación Para Evitar la Ceguera en México, Hospital Dr. Luis Sánchez Bulnes for a 5 day evoluted paracentral-temporal escotoma, accompanied by an occasional minor parietal cephalea and recounting to have presented a flu episode which had been solved two weeks earlier. The patient denied any history related to her current illness. The ophthalmological examination found a preserved visual acuity for both eyes, the left eye showed a swollen disc. 30-2 visual campimetries were requested and a left eye cecal escotoma was found. The final diagnosis was a swollen disc without a diminished vision, therefore a treatment with oral prednisone was administrated. A cranial MRI was requested and displayed no alterations. Later, the patient initiates with a generalized maculopapular exanthema and vesicular lesions, which leads to a chickenpox diagnosis, Acyclovir treatment is initiated and prednisone is suspended. Two weeks later, the swollen disc and chickenpox symptoms were solved. On this case, a swollen disc is directly related to a viral disease, previously discarding other causes in pediatric patients.