Romero Aroca P, Castro Salomo A, Martínez Salcedo I, Almena García M, Salvat Serra M, Zamora Barrios J
Servicio de Oftalmología, Hospital universitario Sant Joan de Reus, Departamento de Medicina y Cirugía Universidad Rovira y Virgili, Tarragona, Spain.
Arch Soc Esp Oftalmol. 2004 Feb;79(2):81-4. doi: 10.4321/s0365-66912004000200008.
A female 23 years old, from Equador, was referred to us because of a vision decrease in her left eye. Fundus exploration demonstrated an inflammatory chorioretinal lesion with associated periphlebitis. Serology results showed positive for PPD. A vitreous biopsy was carried out together with tuberculosis prophylactic treatment with isoniacide (300 mg/day); the clinical findings improved. Finally, PCR test was positive for mycobacterium tuberculosis. In consequence, therapeutic treatment for tuberculosis was initiated.
Due to the current increase in prevalence of tuberculosis, we should always take this into account as a possible etiology when dealing with cases of chorioretinitis.
一名23岁的厄瓜多尔女性因左眼视力下降被转诊至我院。眼底检查发现炎性脉络膜视网膜病变并伴有静脉周围炎。血清学检查结果显示结核菌素试验阳性。进行了玻璃体活检，并同时给予异烟肼（300毫克/天）进行结核病预防性治疗；临床症状有所改善。最后，结核分枝杆菌聚合酶链反应检测呈阳性。因此，开始了结核病的治疗。
由于目前结核病患病率上升，在处理脉络膜视网膜炎病例时，我们应始终将其视为可能的病因。
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