青霉素治疗后梅毒脉络膜视网膜炎所致严重视力丧失的逆转
Reversal of Severe Visual Loss from Syphilitic Chorioretinitis Following Penicillin Treatment.
作者信息
Warner Evan J, Chen Yanjun
机构信息
Department of Ophthalmology and Visual Sciences, University of Wisconsin-Madison , Madison, Wisconsin, USA.
出版信息
Neuroophthalmology. 2015 Nov 9;39(6):263-265. doi: 10.3109/01658107.2015.1077389. eCollection 2015 Dec.
Abstract
A 51-year-old Caucasian male was referred to neuro-ophthalmology clinic for an evaluation of acute onset of painless visual loss in the left eye. The ocular examination revealed subtle retinal changes suspicious for chorioretinitis. Laboratory workup revealed a reactive particle agglutination assay (TP-PA), confirming the diagnosis of ocular syphilis. The patient was treated with intravenous infusion of penicillin with complete recovery of vision and resolution of retinal abnormalities.
摘要
一名51岁的白种男性因左眼无痛性视力丧失急性发作被转诊至神经眼科门诊。眼部检查发现视网膜有细微变化，怀疑为脉络膜视网膜炎。实验室检查显示梅毒螺旋体颗粒凝集试验（TP-PA）呈阳性，确诊为眼梅毒。该患者接受了青霉素静脉输注治疗，视力完全恢复，视网膜异常也得以消退。
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