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[弓形虫病的治疗。弓形虫性脉络膜视网膜炎的治疗]

[Treatment of toxoplasmosis. The treatment of toxoplasmic chorioretinitis].

作者信息

Psilas K, Petroutsos G, Aspiotis M

机构信息

Université d'Ionnina, Grèce.

出版信息

J Fr Ophtalmol. 1990;13(11-12):551-3.

PMID:2081846
Abstract

Toxoplasmosis is the commonest cause of inflammatory disease of the posterior segment of the eye. We treated 23 patients with acute toxoplasma chorioretinitis with sulfonamides, pyrimethamine and corticosteroids for a period of 4 weeks. All patients with acute disease had characteristic foci and a positive titer on the Sabin-Feldman dye test. In all patients, we observed clinical improvement within 2 weeks, but one patient with a lesion larger than 2 disc diameters improved after the third week. During the follow-up period ranging from 6 months to 6 years (mean 2.5 years), there have been four recurrences (17%). No serious side effects of treatment were observed in our patients.

摘要

弓形虫病是眼后段炎性疾病最常见的病因。我们用磺胺类药物、乙胺嘧啶和皮质类固醇对23例急性弓形虫脉络膜视网膜炎患者进行了为期4周的治疗。所有急性病患者在Sabin-Feldman染料试验中均有特征性病灶和阳性滴度。所有患者在2周内均出现临床改善,但1例病灶大于2个视盘直径的患者在第三周后有所改善。在6个月至6年(平均2.5年)的随访期内,有4例复发(17%)。我们的患者未观察到治疗的严重副作用。

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