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[结核分枝杆菌感染过程中的眼部变化——个人观察]

[Ocular changes in course of Mycohacterium tuberculosis infection--own observations].

作者信息

Kepa Beata, Grałek Mirosława, Kanigowska Krystyna, Chipczyńska Barbara

机构信息

Z Kliniki Okulistyki Instytutu Pomnik--Centrum Zdrowia Dziecka, Warszawie.

出版信息

Klin Oczna. 2008;110(7-9):265-8.

Abstract

Ocular tuberculosis occurs rarely and causes many diagnostic difficulties. The aim of this paper is to provide an analysis of diagnostic problems of ocular changes as a consequence of Mycobacterium tuberculosis infection in children. Between 2006 and 2007 there were 7 children at the age 8 to 16 years old, treated in Ophthalmic Department. The infection or contact with Mycobacterium tuberculosis was diagnosed through the range of examination. Diagnosis of tuberculosis included chest radiography, computed tomography of lungs, tuberculin skin test and bronchoscopy. Gastric and bronchial aspirates were used for bacterial and genetic investigations. In eyes with ocular tuberculosis there were various intraocular changes. The most common clinical presentation occurred by intermediate uveitis, posterior uveitis and optic neuritis. 5 children were treated with antituberculous drugs, 2 children were observed without treatment. Examination and treatment of ocular tuberculosis required cooperation with specialists of pulmonary diseases.

摘要

眼部结核病很少见,且会引发诸多诊断难题。本文旨在分析儿童因结核分枝杆菌感染导致眼部病变的诊断问题。2006年至2007年间,眼科有7名8至16岁的儿童接受治疗。通过一系列检查诊断出感染或接触结核分枝杆菌。结核病的诊断包括胸部X光检查、肺部计算机断层扫描、结核菌素皮肤试验和支气管镜检查。胃和支气管吸出物用于细菌和基因检测。患有眼部结核病的眼睛存在各种眼内病变。最常见的临床表现为中间葡萄膜炎、后葡萄膜炎和视神经炎。5名儿童接受了抗结核药物治疗,2名儿童未接受治疗进行观察。眼部结核病的检查和治疗需要与肺部疾病专家合作。

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