Yip Ivan Yeu Ming, Scotcher Stephen
Ophthalmology Department, Hereford County Hospital, Hereford, UK.
BMJ Case Rep. 2018 Jun 10;2018:bcr-2017-222504. doi: 10.1136/bcr-2017-222504.
We report the rare case of a 5-year-old boy with an infective cause of papilloedema and bilateral uveitis secondary to The patient presented with generalised headache and malaise. MRI showed signs of raised intracranial pressure and lumbar puncture opening pressure was 43 cmHO.Lumbar puncture did not reveal any infective organisms. Blood tests showed raised inflammatory markers. The patient was started on prednisolone, acetazolamide and intravenous cefotaxime. Following an improvement, the patient was discharged.However, the patient re-presented 2 weeks later with bilateral anterior uveitis. With the combination of papilloedema and bilateral uveitis, infection was suspected. Tests confirmed recent mycoplasma infection. Topical dexamethasone and oral azithromycin were given and symptoms improved.Vision remained normal throughout. At 1-year follow-up, the patient remains well. The authors would like to highlight a rare infectious cause of papilloedema in young children.
我们报告了一例罕见的5岁男孩病例，其因继发于[具体病因未提及]而出现感染性视乳头水肿和双侧葡萄膜炎。患者表现为全身性头痛和不适。磁共振成像（MRI）显示颅内压升高的迹象，腰椎穿刺初压为43 cmH₂O。腰椎穿刺未发现任何感染性生物体。血液检查显示炎症标志物升高。患者开始使用泼尼松龙、乙酰唑胺和静脉注射头孢噻肟。病情好转后，患者出院。然而，患者在2周后再次出现双侧前葡萄膜炎。结合视乳头水肿和双侧葡萄膜炎，怀疑存在感染。检查证实近期有支原体感染。给予局部地塞米松和口服阿奇霉素后症状改善。患者视力始终保持正常。在1年的随访中，患者情况良好。作者希望强调幼儿视乳头水肿的一种罕见感染病因。
