Pillai S, Mahmood M A, Limaye S R
Department of Ophthalmology, D.C. General Hospital, Washington, D.C. 20003.
J Clin Neuroophthalmol. 1989 Dec;9(4):229-33; discussion 234-5.
A 42-year-old man presented with herpes zoster ophthalmicus on the right side. He was found to have acquired immune deficiency syndrome-related complex. Two weeks later he developed toxoplasmic retinochoroiditis in the left eye. He also presented later with left hemiplegia, which was probably caused by herpes zoster arteritis. Nine months after the retinal lesion resolved he developed another area of toxoplasmic retinochoroiditis adjacent to the first lesion. Herpes zoster may be the first presentation of acquired immune deficiency syndrome-related complex in a young healthy individual. Ophthalmologists are encountering patients with acquired immune deficiency syndrome who may have multiple organisms as the cause for their ocular infections and this might pose a treatment dilemma. The combination of herpes zoster ophthalmicus and ocular toxoplasmosis in this patient makes this case unusual.
一名42岁男性出现右侧眼部带状疱疹。他被发现患有获得性免疫缺陷综合征相关综合征。两周后，他左眼患上了弓形虫性视网膜脉络膜炎。后来他又出现了左侧偏瘫，可能是由带状疱疹性动脉炎引起的。视网膜病变消退九个月后，他在第一个病变附近又出现了一处弓形虫性视网膜脉络膜炎。带状疱疹可能是年轻健康个体中获得性免疫缺陷综合征相关综合征的首发表现。眼科医生正在接诊患有获得性免疫缺陷综合征的患者，这些患者眼部感染可能由多种病原体引起，这可能会带来治疗难题。该患者眼部带状疱疹与眼部弓形虫病并存，使此病例不同寻常。
