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结核性后巩膜炎:病例报告及文献复习。

Tubercular posterior scleritis: A case report and review of literature.

机构信息

Department of Uvea, Medical and Vision Research Foundations, Sankara Nethralaya, Tamil Nadu, India.

出版信息

Indian J Ophthalmol. 2019 Aug;67(8):1362-1365. doi: 10.4103/ijo.IJO_1942_18.

Abstract

A 47-year-old female presented with optic disc oedema, peripapillary subretinal fluid and scattered areas of choroiditis. Her ultrasound B-scan showed sclerochoroidal thickening with widening of sub-Tenon space. Subsequent investigations revealed a positive Mantoux test and high-resolution computed tomography of the chest was suggestive of pulmonary involvement. She responded well to antitubercular treatment and systemic corticosteroid. A review of the literature was conducted to identify additional reports on similar cases and discussed. A high index of suspicion and appropriate laboratory work-up can aid in the diagnosis of tuberculous posterior scleritis.

摘要

一位 47 岁女性因视盘水肿、视盘周围视网膜下液和散在的脉络膜炎就诊。她的超声 B 扫描显示巩膜脉络膜增厚伴腱膜下间隙增宽。随后的检查显示曼托试验阳性,胸部高分辨率计算机断层扫描提示肺部受累。她对抗结核治疗和全身皮质类固醇反应良好。对文献进行了回顾,以确定类似病例的其他报告并进行了讨论。高度怀疑和适当的实验室检查有助于诊断结核性后巩膜炎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d48a/6677048/8308c384d951/IJO-67-1362-g001.jpg

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