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[人类免疫缺陷病毒阳性患者弓形虫病的眼部表现。病例描述]

[Ophthalmic manifestations of toxoplasmosis in a human immunodeficiency virus-positive patient. Description of a case].

作者信息

Hermida Pérez J A, Bermejo Hernandez Á, Sobenes Gutierrez R

机构信息

Medicina de Familia, Centro de Salud de El Paso, Santa Cruz de Tenerife, España.

Enfermería, Centro de Salud de Los Llanos de Aridane, Santa Cruz de Tenerife, España.

出版信息

Semergen. 2014 Mar;40(2):e23-7. doi: 10.1016/j.semerg.2013.01.012. Epub 2013 Apr 6.

Abstract

Toxoplasmosis is an infection of worldwide distribution caused by Toxoplasma gondii, and infects a large proportion of the world population. Only under certain circumstances of severe immunosuppression can the parasite reactivate and cause disease. The most common form of presentation of this pathology in patients with positive HIV is the brain abscess. One of the extra-cerebral forms is toxoplasmic chorioretinitis, which could lead to a chronic active form of a slowly progressive retinitis. Diagnosis is made by observing the eye fundus and confirmed by the scarring obtained after specific treatment. We report a case of a patient with diabetes and positive HIV, in whom a toxoplasmic scar injury was detected in the annual retinography follow-up. A conservative therapeutic approach was decided, with regular check-ups for possible detection of disease activation.

摘要

弓形虫病是由刚地弓形虫引起的一种全球分布的感染性疾病,感染了世界上很大一部分人口。只有在严重免疫抑制的特定情况下,寄生虫才会重新激活并引发疾病。HIV阳性患者中这种病理表现最常见的形式是脑脓肿。脑外形式之一是弓形虫性脉络膜视网膜炎,它可能导致慢性活动性、缓慢进展性视网膜病变。通过观察眼底进行诊断,并通过特定治疗后形成的瘢痕来确诊。我们报告一例糖尿病合并HIV阳性患者,在年度视网膜造影随访中检测到弓形虫瘢痕损伤。决定采取保守治疗方法,定期检查以可能检测到疾病激活。

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