A 3-year-old child with acute vision loss: Optic Neuritis in the setting of Myelin Oligodendrocyte Glycoprotein Antibody-associated Disease

Case Presentation

A 3-year-old female patient presented to the pediatric emergency clinic with ‘worsening vision loss and imbalance’ in one day. The patient had been treated for urinary tract infection for the last 2 weeks with ceftriaxone and cephalexin. During the initial visit, the laboratory could not run the culture from the urine sample, and the post-antibiotic urine culture obtained later failed to demonstrate bacterial growth. Otherwise, the patient had no significant familial, past medical, or surgical history. Physical examination confirmed vision loss with ‘papilledema, sluggishly reactive dilated pupils, and limited upward gaze’.

Publication History

Received: 28 May 2024

Accepted after revision: 21 January 2025

Article published online:
18 February 2025