Wang Lu-Chun, Wang I-Hua, Jou Jieh-Ren
Department of Ophthalmology, National Taiwan University Hospital (NTUH), Taipei, Taiwan.
Ocul Immunol Inflamm. 2006 Jun;14(3):189-91. doi: 10.1080/09273940600657702.
To describe a case of optic neuritis secondary to Angiostrongylus cantonensis infection.
Case report of a patient with eosinophilic meningitis secondary to A. cantonensis infection. The patient developed a sudden decrease in visual acuity with a visual field defect and color vision loss in his left eye. Both visual evoked potential and clinical manifestations suggested the diagnosis of optic neuritis (os).
After two weeks of larvicidal drugs and steroid treatment, the patient's visual acuity and color vision had dramatically improved.
Optic neuritis may occur in patients with A. cantonensis meningitis. Treatment with a combination of steroid and larvicidal agents may be beneficial to these patients.
描述一例继发于广州管圆线虫感染的视神经炎病例。
报告一例继发于广州管圆线虫感染的嗜酸性粒细胞性脑膜炎患者。该患者左眼视力突然下降,伴有视野缺损和色觉丧失。视觉诱发电位和临床表现均提示诊断为视神经炎(左眼)。
经过两周的杀幼虫药物和类固醇治疗,患者的视力和色觉有了显著改善。
广州管圆线虫脑膜炎患者可能发生视神经炎。类固醇和杀幼虫剂联合治疗可能对这些患者有益。