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Unusual presentation of more common disease/injury
CASE REPORT
Retinal haemorrhage in a child with optic neuritis and acute disseminated encephalomyelitis
  1. Patrick Kelly1,2,
  2. Andrea Vincent2,3,
  3. Melinda Nolan4 and
  4. Sonja Bastin5
  1. 1 Te Puaruruhau (Child Protection Team), Starship Children’s Health, Auckland, New Zealand
  2. 2 Department of Paediatrics: Child and Youth Health; Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand
  3. 3 Department of Ophthalmology, Auckland City Hospital, Auckland, New Zealand
  4. 4 Department of Paediatric Neurology, Starship Children’s Health, Auckland, New Zealand
  5. 5 Department of Paediatric Radiology, Starship Children’s Health, Auckland, New Zealand
  1. Correspondence to Dr Patrick Kelly, patrickk{at}adhb.govt.nz

Abstract

A 2-year-old presented with lethargy, acute visual loss, fixed dilated pupils and severe bilateral retinal haemorrhages. The retinal findings raised concerns about abusive head trauma, but subsequent investigations confirmed the diagnosis of bilateral optic neuritis associated with acute disseminated encephalomyelitis.

  • retina
  • child abuse
  • visual pathway
  • neuroopthalmology

https://doi.org/10.1136/bcr-2018-227211

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    Footnotes

    • Contributors PK: cared for the patient and conceptualised the case report, obtained consent, reviewed the data, wrote and revised the manuscript and approved the final manuscript as submitted. AV: cared for the patient and reviewed the data, contributed the ophthalmological images, revised the manuscript and approved the final manuscript as submitted. MN: cared for the patient and reviewed the data, revised the manuscript and approved the final manuscript as submitted. SB: cared for the patient and reviewed the data, contributed the radiological images, revised the manuscript and approved the final manuscript as submitted.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Obtained.