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儿童立克次体病的眼部表现:常见但常被忽视。

Ocular manifestations of rickettsia in children: common but frequently overlooked.

作者信息

Marques Sara Homem de Melo, Guerra Marta Gomes, Almeida Catarina, Ribeiro Miguel

机构信息

Ophthalmology Department, Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal.

Ophthalmology Department, Centro Hospitalar Tondela-Viseu, Viseu, Portugal.

出版信息

BMJ Case Rep. 2018 May 18;2018:bcr-2017-222809. doi: 10.1136/bcr-2017-222809.

DOI:10.1136/bcr-2017-222809
PMID:29776935
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5965803/
Abstract

We review two cases of ocular manifestations of infection in children. A girl who presented unilateral visual loss with focal retinitis and macular oedema and a boy with unilateral central scotoma and bilateral anterior uveitis. Progressive functional and anatomic recovery was observed after oral antibiotics and steroids were initiated.

摘要

我们回顾了两例儿童感染的眼部表现病例。一名女孩出现单侧视力丧失,伴有局灶性视网膜炎和黄斑水肿,一名男孩出现单侧中心暗点和双侧前葡萄膜炎。在开始口服抗生素和类固醇治疗后,观察到功能和解剖结构逐渐恢复。

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Ocular manifestations of rickettsia in children: common but frequently overlooked.儿童立克次体病的眼部表现:常见但常被忽视。
BMJ Case Rep. 2018 May 18;2018:bcr-2017-222809. doi: 10.1136/bcr-2017-222809.
2
Ocular manifestations of in South India.南印度的 眼部表现。
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Macular Star and Central Visual Loss: Two Pediatric Cases.黄斑星芒与中心视力丧失:两例儿科病例
Clin Pediatr (Phila). 2016 May;55(5):496-8. doi: 10.1177/0009922815601033. Epub 2015 Aug 16.
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Posterior segment manifestations of Rickettsia conorii infection.康氏立克次体感染的眼后段表现。
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[Encephalitis caused by Rickettsia conorii without exanthema].无疹性康氏立克次体脑炎
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infection as an unusual cause of pediatric retinitis: A case report.感染作为小儿视网膜炎的罕见病因:一例报告。
Am J Ophthalmol Case Rep. 2022 Apr 29;26:101566. doi: 10.1016/j.ajoc.2022.101566. eCollection 2022 Jun.
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Spotted fever rickettsiosis presenting with bilateral anterior uveitis and retinitis: A case report.以双侧前葡萄膜炎和视网膜炎为表现的斑点热立克次体病:一例报告。
J Family Med Prim Care. 2020 Feb 28;9(2):1236-1239. doi: 10.4103/jfmpc.jfmpc_1009_19. eCollection 2020 Feb.

本文引用的文献

1
Commentary: Rickettsial retinitis - Direct bacterial infection or an immune-mediated response?评论:立克次体性视网膜炎——直接细菌感染还是免疫介导反应?
Indian J Ophthalmol. 2017 Oct;65(10):1041-1043. doi: 10.4103/ijo.IJO_681_17.
2
Rickettsial retinitis: Direct bacterial infection or an immune-mediated response?立克次体性视网膜炎:直接细菌感染还是免疫介导反应?
Indian J Ophthalmol. 2017 Oct;65(10):1038-1041. doi: 10.4103/ijo.IJO_369_17.
3
[Mediterranean Spotted Fever: Retrospective Review of Hospitalized Cases and Predictive Factors of Severe Disease].[地中海斑疹热:住院病例回顾及重症疾病预测因素]
Acta Med Port. 2015 Sep-Oct;28(5):624-31. Epub 2015 Oct 30.
4
Rickettsial retinitis-an Indian perspective.立克次体性视网膜炎——印度视角
J Ophthalmic Inflamm Infect. 2015 Dec;5(1):37. doi: 10.1186/s12348-015-0066-8. Epub 2015 Nov 26.
5
Visual loss associated with rickettsial disease.与立克次体病相关的视力丧失。
Ocul Immunol Inflamm. 2014 Oct;22(5):373-8. doi: 10.3109/09273948.2013.848907. Epub 2013 Oct 30.
6
Treatment of Rickettsia spp. infections: a review.治疗立克次体感染:综述。
Expert Rev Anti Infect Ther. 2012 Dec;10(12):1425-37. doi: 10.1586/eri.12.139.
7
Intraocular inflammation as the main manifestation of Rickettsia conorii infection.以眼内炎症为康氏立克次体感染的主要表现。
Clin Ophthalmol. 2011;5:1401-7. doi: 10.2147/OPTH.S21257. Epub 2011 Sep 26.
8
Ocular manifestations of rickettsiosis: 2. Retinal involvement and treatment.立克次体病的眼部表现:2. 视网膜受累及治疗。
Int J Med Sci. 2009;6(3):128. doi: 10.7150/ijms.6.128. Epub 2009 Mar 19.
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Diagnosis and management of tickborne rickettsial diseases: Rocky Mountain spotted fever, ehrlichioses, and anaplasmosis--United States: a practical guide for physicians and other health-care and public health professionals.蜱传立克次体病的诊断与管理:落基山斑疹热、埃立克体病和无形体病——美国:面向医生及其他医疗保健和公共卫生专业人员的实用指南
MMWR Recomm Rep. 2006 Mar 31;55(RR-4):1-27.
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Guidelines for the diagnosis of tick-borne bacterial diseases in Europe.欧洲蜱传细菌性疾病诊断指南。
Clin Microbiol Infect. 2004 Dec;10(12):1108-32. doi: 10.1111/j.1469-0691.2004.01019.x.