Coxsackievirus B4 as a cause of adult chorioretinitis

PURPOSE: To describe the clinical manifestation and course of chorioretinit is presumed to be secondary to coxsackievirus infection in an adult. METHOD: Case report documented by fundus photography and fluorescein angiog raphy. RESULTS: Ophthalmoscopic examination of a symptomatic 34-year-old woman sho wed several cream-colored parafoveal spots at the level of the retinal pigm ent epithelium and similar, multiple confluent spots in the midperiphery of both eyes. Titers for coxsackievirus B4 demonstrated a fourfold rise betwe en acute and convalescent sera. CONCLUSION: Coxsackievirus B4 is apparently a rare cause of chorioretinitis but nevertheless should be considered in the appropriate clinical setting. (C) 1999 by Elsevier Science Inc. All rights reserved.