HIV阳性患者猫抓病的眼部表现
Ocular manifestation of cat-scratch disease in HIV-positive patients.
作者信息
Curi André L L, Machado Danuza O, Heringer Gustavo, Campos Wesley R, Orefice Fernando
机构信息
Department of Ophthalmology, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
出版信息
Am J Ophthalmol. 2006 Feb;141(2):400-1. doi: 10.1016/j.ajo.2005.08.072.
PURPOSE
To characterize ocular manifestations of cat-scratch disease in HIV-positive patients.
DESIGN
Retrospective case series study.
METHODS
Records and photography of patients with the diagnosis of cat-scratch disease and HIV were reviewed.
RESULTS
From 2001 and 2004 three patients with cat-scratch disease and HIV were identified. All patients presented with subretinal mass associated with an abnormal vascular network. Fluorescein angiography revealed this abnormal vascular network more clearly. All patients were treated with antibiotics alone with good response.
CONCLUSIONS
Subretinal mass associated with abnormal vascular network is characteristic of cat-scratch disease in HIV-positive patients. Fluorescein angiography is important to characterize this vascular pattern, and patients may benefit from systemic treatment.
目的
描述HIV阳性患者猫抓病的眼部表现。
设计
回顾性病例系列研究。
方法
对诊断为猫抓病和HIV的患者的记录及照片进行回顾。
结果
2001年至2004年期间，共识别出3例猫抓病合并HIV患者。所有患者均表现为视网膜下肿块并伴有异常血管网。荧光素血管造影更清晰地显示了这种异常血管网。所有患者仅接受抗生素治疗，反应良好。
结论
视网膜下肿块合并异常血管网是HIV阳性患者猫抓病的特征。荧光素血管造影对于描述这种血管模式很重要，患者可能从全身治疗中获益。
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