一名艾滋病患者的双侧多灶性脉络膜炎和视神经病变：诊断难题

Bilateral multifocal choroiditis and optic neuropathy in a patient with AIDS: a diagnostic dilemma.

作者信息

Gharai Sujit, Venkatesh Pradeep, Garg Satpal, Sharma Surendra, Tahir Mohammed, Sinha Anindita, Samanta Palash, Gopi Arun

机构信息

Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

出版信息

AIDS Read. 2007 Dec;17(12):606-8.

PMID:18178980

Abstract

A rare case of bilateral multifocal choroiditis and optic neuropathy as the result of disseminated cryptococcal infection in a person with AIDS is described. A 30-year-old HIV-positive man presented with fever, headache, vomiting, and altered sensorium Ophthalmological examination revealed bilateral multifocal choroiditis and optic neuropathy. Laboratory examination and imaging suggested a presumptive diagnosis of disseminated Cryptococcus neoformans infection. Therapeutic response confirmed the diagnosis.

摘要

本文描述了一例艾滋病患者因播散性隐球菌感染导致双侧多灶性脉络膜炎和视神经病变的罕见病例。一名30岁的HIV阳性男性出现发热、头痛、呕吐和意识改变。眼科检查发现双侧多灶性脉络膜炎和视神经病变。实验室检查和影像学检查提示播散性新型隐球菌感染的初步诊断。治疗反应证实了诊断。