Age: 1.0
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Photophobia, Rash, Screaming, Somnolence, Viral infection
Clinical narrative: On 04/29, the patient complained of headache. On 04/30, also complained of headache. On 04/31, the baby sitter said she didn't play much and laid around with a headache. On 05/01/01, constantly sleeping, screaming and crying with her head. The baby sitter called the mother a work, the child was screaming with her head and when the light was on it hurt her eyes. Went to the Doctor, who sent her to the hospital for a CT Scan so they can rule out meningitis or a tumor. On 05/02/01, she got up screaming again with pain this time and she had no tears at all, still sleeping, and she was dehydrated. Admitted to the hospital for fluids and to monitor her and run test. About 1 PM that afternoon the mother started to notice these pimple like bumps coming up on her forehead and her nose. When the doctor came the mother told her to check on her and to look at the bumps and she said that it wasn't related at all and that they were not in the pattern of a rash. She named a virus, and she said she thought it was this because it could make your head hurt rea1ly bad. The child ran a low grade fever at night around 100.8.  The morning of 05/03/01, the bumps were straight down her forehead to the tip of her nose, like somebody put a ruler to her face and drew a line. They were on the left side of her face and her nose, her eye was red and swollen. The Doctor panicked and said it looked shingles but how? The doctor got another pediatrician to come look. It was defiantly shingles and they were in her eye. They then started her on Acyclovir in her IV. They gave her Tylenol with Codeine for the pain. Later that after noon they brought in an eye specialist to see what to do about her eye. He put her on some dilating drops twice a day and said things should heal fine. Through all of this she slept around the clock until Saturday 05/05/01. That's when a change could be seen and that she was doing better. They released her on 05/06/01. Anytime she gets upset or really cries they come back really red. They have been going to the eye specialist every week for her eye. He had to put her on steroid drops 4 times a day because her cornea was inflammed. She still has pain in her head at times. They are waiting to see what kind of damage it has done to her eye. the mother is also worried about nerve damage and if that is related to the pain she still has sometimes. She never had the chicken pox but she received the vaccine when she was one. The doctor say that her body reacted to it this way. The doctor had never seen it that significant on the face in the pattern it was in. The mother would like to know of any cases like this in young children and how it affected them in the long run. The mother is trying to get all the info on other cases like her daughters, she states 'if you can help please let me know".  Diagnosed with Herpes zoster and Keratitis. Per doc 215198, patient's left eye is very sensitive to bright light and sunshine. She has to have sunglasses on in order to be outside. Her depth perception is off, sometimes she runs into things. Also any time she gets upset the red bumps where the shingles were come right back in bright red until she calm down. "Please stay in contact with us about updates or other events of children under five with the shingles in their eyes".  Also patient still complains with headache.