Khairallah Moncef, Zaouali Sonia, Ben Yahia Salim, Ladjimi Ahmed, Messaoud Riadh, Jenzeri Salah, Attia Sonia
Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia.
J Neuroophthalmol. 2005 Sep;25(3):212-4. doi: 10.1097/01.wno.0000177305.75339.05.
A 43-year-old man with fever, headache, and skin rash developed unilateral acute anterior ischemic optic neuropathy. The indirect immunofluorescence test was positive for Rickettsia conorii. Although retinal lesions have been described in Rickettsia conorii infection, this is the first reported case of ischemic optic neuropathy. This infection should be considered in a patient with nonarteritic anterior ischemic optic neuropathy with high fever or skin rash who inhabits or travels from an endemic area.
一名43岁男性，伴有发热、头痛和皮疹，继而发生单侧急性前部缺血性视神经病变。间接免疫荧光试验显示康氏立克次体阳性。尽管已有报道康氏立克次体感染可出现视网膜病变，但这是首例报告的缺血性视神经病变病例。对于居住在或来自流行地区、患有非动脉炎性前部缺血性视神经病变且伴有高热或皮疹的患者，应考虑这种感染。
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