Levin A V, Zeichner S, Duker J S, Starr S E, Augsburger J J, Kronwith S
Retina Department, Wills Eye Hospital, Philadelphia, Pennsylvania.
Pediatrics. 1989 Oct;84(4):683-7.
A case of cytomegalovirus retinitis in an infant with acquired immunodeficiency syndrome (AIDS) is described. Although well recognized as an ocular manifestation of AIDS in adults, only one case of the necrotic retinitis caused by cytomegalovirus has been described in a child with AIDS. Intravenous treatment with ganciclovir resulted in substantial ocular improvement, despite the advanced nature of the disease in one eye in which there was also secondary neovascular glaucoma. Home maintenance treatment was used via Broviac catheter. The patient later died following pulmonary infection with Pneumocystis carinii.
本文描述了一例患有获得性免疫缺陷综合征(AIDS)的婴儿发生巨细胞病毒性视网膜炎的病例。虽然巨细胞病毒性视网膜炎作为成人艾滋病的眼部表现已广为人知,但在患有艾滋病的儿童中,仅报道过一例由巨细胞病毒引起的坏死性视网膜炎。尽管该疾病在一只眼睛已发展至晚期并伴有继发性新生血管性青光眼,但静脉注射更昔洛韦治疗后,眼部情况有了显著改善。通过 Broviac 导管进行家庭维持治疗。该患者后来因卡氏肺孢子虫肺部感染而死亡。