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汉坦病毒肺综合征激素治疗后双侧急性获得性弓形虫视网膜脉络膜炎:病例报告

Bilateral acute acquired toxoplasmic retinochoroiditis after steroid therapy for hantavirus pulmonary syndrome: case report.

作者信息

Siqueira Rubens Camargo, Jorge Rodrigo, Figueiredo Luiz Tadeu de Moraes

机构信息

Faculdade de Medicina de Catanduva, Catanduva, SP, Brasil.

出版信息

Arq Bras Oftalmol. 2007 May-Jun;70(3):513-6. doi: 10.1590/s0004-27492007000300022.

Abstract

Description of a case of acute acquired ocular toxoplasmosis following hantavirus pulmonary syndrome. A 41-year-old man presenting hantavirus pulmonary syndrome, confirmed in the laboratory by detection of IgM antibodies to the virus, was submitted to high doses of intravenous corticosteroids for two months. After clinical improvement of hantavirus pulmonary syndrome the patient presented visual loss in both eyes that was secondary to a toxoplasmosis retinitis. The retinitis resolved with anti-toxoplasma therapy. Acquired toxoplasmic retinochoroiditis can occur following steroid therapy for hantavirus pulmonary syndrome.

摘要

汉坦病毒肺综合征后急性获得性眼弓形虫病1例报告。一名41岁男性出现汉坦病毒肺综合征,经实验室检测病毒IgM抗体确诊,接受了两个月的大剂量静脉注射皮质类固醇治疗。汉坦病毒肺综合征临床症状改善后,患者出现双眼视力丧失,继发于弓形虫性视网膜炎。经抗弓形虫治疗后视网膜炎消退。汉坦病毒肺综合征接受类固醇治疗后可发生获得性弓形虫性视网膜脉络膜炎。

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