西尼罗河病毒感染患者的视网膜炎和脉络膜视网膜炎。
Vitritis and chorioretinitis in a patient with West Nile virus infection.
作者信息
Bains Harshivinderjit S, Jampol Lee M, Caughron Michael C, Parnell Jeffrey R
机构信息
Department of Ophthalmology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
出版信息
Arch Ophthalmol. 2003 Feb;121(2):205-7. doi: 10.1001/archopht.121.2.205.
OBJECTIVE
To describe the visual outcome, fundus appearance, and fluorescein angiographic findings of a patient diagnosed as having acute West Nile virus infection.
METHODS
We conducted comprehensive eye examinations, including visual acuity testing and slitlamp and fundus examinations, along with fluorescein angiography at the initial and follow-up visits.
RESULTS
A 62-year-old white woman had a 2-week history of floaters in her left eye along with symptoms of fatigue, a left-sided frontal headache, and a low-grade fever. She was found to have anterior uveitis, vitritis, and nonnecrotizing chorioretinitis in her left eye with similar but milder findings in the right eye. The anterior uveitis responded to topical steroids. Because of continued fevers and fatigue, a serologic test for West Nile virus immunoglobulin M was performed, and the results were found to be positive for this disease.
CONCLUSION
These unique eye findings, along with associated systemic signs and symptoms, can potentially indicate infection with the West Nile virus.
目的
描述一名被诊断为患有急性西尼罗河病毒感染患者的视力结果、眼底表现及荧光素血管造影结果。
方法
我们在初次就诊和随访时进行了全面的眼部检查，包括视力测试、裂隙灯检查和眼底检查以及荧光素血管造影。
结果
一名62岁白人女性有2周左眼飞蚊症病史，伴有疲劳、左侧额部头痛和低热症状。她被发现左眼患有前葡萄膜炎、玻璃体炎和非坏死性脉络膜视网膜炎，右眼有类似但较轻的表现。前葡萄膜炎对局部类固醇治疗有反应。由于持续发热和疲劳，进行了西尼罗河病毒免疫球蛋白M的血清学检测，结果发现该疾病呈阳性。
结论
这些独特的眼部表现，连同相关的全身体征和症状，可能提示感染了西尼罗河病毒。
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