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基孔肯雅病毒感染表现为中间葡萄膜炎。

Chikungunya Virus Infection Manifesting as Intermediate Uveitis.

机构信息

a Department of Ophthalmology , Columbia University College of Physicians and Surgeons , New York , New York , USA.

出版信息

Ocul Immunol Inflamm. 2018;26(5):680-682. doi: 10.1080/09273948.2016.1263340. Epub 2016 Dec 23.

Abstract

PURPOSE

To describe a case of intermediate uveitis caused by chikungunya virus infection in the Western Hemisphere.

METHODS

Case report of a patient diagnosed with chikungunya infection presenting with blurry vision and floaters.

RESULTS

Exam revealed a unilateral intermediate uveitis, with an extensive work-up positive for chikungunya virus immunoglobulin M and G titers. The patient responded to oral corticosteroids with signs and symptoms resolving over the course of 3 months' treatment.

CONCLUSIONS

While anterior uveitis and retinitis are the most common ocular manifestations of chikungunya infection, we report here a case of chikungunya infection presenting as an intermediate uveitis, responding well to oral corticosteroids. This case demonstrates the varied presentation of chikungunya-related uveitis and highlights its consideration in the differential diagnoses of those who have had preceding systemic viral symptoms and uveitis.

摘要

目的

描述西半球由基孔肯雅病毒感染引起的中间葡萄膜炎病例。

方法

报告了一例诊断为基孔肯雅感染的患者,表现为视力模糊和漂浮物。

结果

检查发现单侧中间葡萄膜炎,广泛的工作检查对基孔肯雅病毒免疫球蛋白 M 和 G 滴度呈阳性。患者对口服皮质类固醇有反应,症状和体征在 3 个月的治疗过程中得到缓解。

结论

虽然前葡萄膜炎和视网膜炎是基孔肯雅病毒感染最常见的眼部表现,但我们在此报告一例中间葡萄膜炎的基孔肯雅感染病例,对口服皮质类固醇反应良好。该病例表明基孔肯雅相关葡萄膜炎的表现多样,并强调在有先前全身病毒症状和葡萄膜炎的患者中,应考虑将其作为鉴别诊断。

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