Weinstein Orly, Shneck Marina, Levy Jacov, Lifshitz Tova
Department of Ophthalmology, Soroka University Medical Center, Beer-Sheva, Israel.
Can J Ophthalmol. 2006 Oct;41(5):594-5. doi: 10.1016/S0008-4182(06)80028-1.
To report a case of severe bilateral anterior uveitis associated with Mycoplasma pneumoniae without pulmonary manifestations.
A healthy 5-year-old girl developed severe bilateral anterior uveitis accompanied by fever, arthralgia, gastrointestinal complaints, and lethargy. Results of laboratory investigations were normal except for high levels of Mycoplasma pneumoniae antibodies. The uveitis subsided with topical application of steroids, cycloplegia, and with oral azithromycin. Although Mycoplasma pneumoniae is a rare cause of uveitis, it should be considered in patients presenting with uveitis, even with no accompanying pulmonary or other typical systemic mycoplasmal manifestations.
报告一例与肺炎支原体相关的严重双侧前葡萄膜炎，无肺部表现。
一名健康的5岁女孩出现严重双侧前葡萄膜炎，伴有发热、关节痛、胃肠道不适和嗜睡。实验室检查结果除肺炎支原体抗体水平升高外均正常。葡萄膜炎通过局部应用类固醇、睫状肌麻痹剂以及口服阿奇霉素得以消退。尽管肺炎支原体是葡萄膜炎的罕见病因，但对于出现葡萄膜炎的患者，即使没有伴随的肺部或其他典型的全身性支原体表现，也应考虑该病。
