Chiang Wei-Yu, Huang Hsiu-Mei
Department of Ophthalmology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Indian J Ophthalmol. 2014 Jun;62(6):724-7. doi: 10.4103/0301-4738.136236.
Herein, we report the clinical findings, treatment choice, and clinical course of a rare case of Mycoplasma pneumoniae (M. pneumoniae) infection with the sole manifestation of optic neuritis (ON). To the best of our knowledge, this is the first case presenting monosymptomatic visual loss without papillitis, neurological symptoms, and abnormal findings on brain imaging. Related articles about ON after M. pneumoniae infection were reviewed to summarize the clinical presentation, possible mechanisms, clinical survey, treatment, and prognosis of this condition. We propose that a Mycoplasma profile is necessary in children who present with ON, especially when this condition is accompanied by prodromal symptoms of the respiratory tract infection.
在此，我们报告一例罕见的肺炎支原体（M. pneumoniae）感染病例，其唯一表现为视神经炎（ON）的临床发现、治疗选择及临床病程。据我们所知，这是首例仅表现为视力丧失而无视乳头炎、神经症状及脑影像学异常发现的病例。我们回顾了关于肺炎支原体感染后视神经炎的相关文章，以总结该病症的临床表现、可能机制、临床检查、治疗及预后。我们建议，对于出现视神经炎的儿童，尤其是伴有呼吸道感染前驱症状时，进行肺炎支原体检测是必要的。
