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Year : 2023  |  Volume : 3  |  Issue : 2  |  Page : 412-414

Double trouble – Acute kidney injury complicating pediatric acute retinal necrosis

Department of Retina and Vitreous, Rajan Eye Care Hospital, Chennai, Tamil Nadu, India

Correspondence Address:
Arthi Mohankumar
Vitreoretinal Consultant, Rajan Eye Care Hospital, 5, Vidyodaya Second Street, T. Nagar, Chennai - 600 017, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/IJO.IJO_3232_22

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Acute retinal necrosis (ARN) occurs due to secondary reactivation of previous herpes simplex or varicella zoster infection. In children, ARN is rare and challenging to manage due to late presentation caused by difficulty in the communication of symptoms to caregivers and lack of treatment guidelines.[1] Acyclovir used for treatment can cause direct tubular injury or crystal deposit in the tubules, causing acute kidney injury (AKI). Prompt management of AKI is required to avoid lethal complications. In this case report, we describe the case of a 14-year-old boy with ARN secondary to primary varicella infection developing AKI following intravenous acyclovir.

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