Cano-Parra J L, Díaz-LLopis M L, Cordoba J L, Gobernado M L, Navea A L, Menezo J L
Department of Ophthalmology, La Fe Hospital, Valencia, Spain.
Ocul Immunol Inflamm. 2000 Jun;8(2):127-30.
To study the etiology of an acute iridocyclitis in a patient with AIDS using polymerase chain reaction (PCR) analysis of aqueous humor.
Case report describing a patient diagnosed with toxoplasmic retinochoroiditis in his left eye. He stopped his treatment after three weeks and subsequently developed an acute iridocyclitis without chorioretinitis in the fellow eye. Anterior chamber paracentesis was performed and aqueous humor was assayed by PCR.
PCR of the aqueous humor showed positivity for Toxoplasma gondii. The iridocyclitis responded to topical dexamethasone and oral treatment with pyrimethamine and sulfadiazine.
PCR is an effective method to diagnose toxoplasmic iridocyclitis in a patient with AIDS.
通过对房水进行聚合酶链反应(PCR)分析,研究一名艾滋病患者急性虹膜睫状体炎的病因。
病例报告描述了一名左眼被诊断为弓形虫性视网膜脉络膜炎的患者。三周后他停止治疗,随后在另一只眼中出现了无脉络膜视网膜炎的急性虹膜睫状体炎。进行了前房穿刺,并通过PCR对房水进行检测。
房水的PCR检测显示弓形虫呈阳性。虹膜睫状体炎对局部使用地塞米松以及口服乙胺嘧啶和磺胺嘧啶治疗有反应。
PCR是诊断艾滋病患者弓形虫性虹膜睫状体炎的有效方法。