急性支原体肺炎感染伴单侧前葡萄膜炎和神经炎。
Acute Mycoplasma pneumoniae infection presenting with unilateral anterior uveitis and perineuritis.
作者信息
Perry Jennifer T, Chen Wendy S
机构信息
Division of Ophthalmology, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island.
Division of Ophthalmology, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island.
出版信息
J AAPOS. 2016 Apr;20(2):178-80. doi: 10.1016/j.jaapos.2015.12.003.
We report a case of confirmed Mycoplasma pneumoniae infection in the setting of unilateral anterior uveitis and perineuritis without coexisting systemic manifestations. We hypothesize a causal association between acute M. pneumoniae infection and this patient's ocular presentation. Delay in identification of M. pneumoniae infection in this case prompted treatment with systemic and topical steroids for presumed autoimmune etiology. The rapid resolution of symptoms without concurrent antibiotic treatment suggests a possible postinfectious autoimmune component that may be responsive to steroid treatment.
我们报告一例确诊的肺炎支原体感染病例，该病例伴有单侧前葡萄膜炎和神经炎，无并存的全身表现。我们推测急性肺炎支原体感染与此患者的眼部表现之间存在因果关联。该病例中肺炎支原体感染的诊断延迟，促使针对假定的自身免疫病因给予全身和局部类固醇治疗。在未同时使用抗生素治疗的情况下症状迅速缓解，提示可能存在对类固醇治疗有反应的感染后自身免疫成分。
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