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眼球摘除术后眼内结核迅速进展致眼外蔓延。

Extraocular spread following evisceration for rapidly progressive intraocular tuberculosis.

机构信息

Smt Kannuri Santhamma Center for Vitreoretinal Diseases, L V Prasad Eye Institute, KAR Campus, Hyderabad, Telangana, India.

Ophthalmic Pathology Laboratory Service, L V Prasad Eye Institute, KAR Campus, Hyderabad, Telangana, India.

出版信息

Indian J Ophthalmol. 2020 Nov;68(11):2583-2585. doi: 10.4103/ijo.IJO_1392_20.

DOI:10.4103/ijo.IJO_1392_20
PMID:33120700
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7774213/
Abstract

We describe a case of right eye tubercular (TB) panuveitis with corneal involvement where repeated intraocular sampling was unsuccessful. Finally, evisceration and histopathology of ocular tissue confirmed the diagnosis of ocular tuberculosis. A chest X-ray showed signs of pulmonary TB. The patient was lost to follow-up but reported 2 months later with the right eyelid margin nodules with surface ulceration. Both eyelid and pulmonary lesions were resolved with anti-TB therapy.

摘要

我们描述了一例右眼结核（TB）全葡萄膜炎伴角膜受累的病例，该患者多次进行眼内取样均未成功。最终，眼球摘除和眼组织的组织病理学检查证实了眼结核的诊断。胸部 X 光片显示有肺结核的迹象。患者失访，但在 2 个月后报告右眼眼睑边缘有结节，表面有溃疡。通过抗结核治疗，眼睑和肺部病变均得到了缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b153/7774213/374385329fc3/IJO-68-2583-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b153/7774213/8aaa96343b97/IJO-68-2583-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b153/7774213/374385329fc3/IJO-68-2583-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b153/7774213/8aaa96343b97/IJO-68-2583-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b153/7774213/374385329fc3/IJO-68-2583-g002.jpg

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Extraocular spread following evisceration for rapidly progressive intraocular tuberculosis.眼球摘除术后眼内结核迅速进展致眼外蔓延。
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本文引用的文献

1
Presumed Intraocular Tuberculosis Manifesting as Unilateral Iris Granuloma.疑似眼内结核表现为单侧虹膜肉芽肿。
Ocul Immunol Inflamm. 2020 Oct 2;28(7):1056-1059. doi: 10.1080/09273948.2019.1699578. Epub 2020 Jan 16.
2
Orbital tuberculosis with involvement of the eyelid: An unusual presentation.累及眼睑的眼眶结核：一种不寻常的表现。
Natl Med J India. 2018 Sep-Oct;31(5):279-280. doi: 10.4103/0970-258X.261198.
3
Prophylactic Antibiotics for Enucleation and Evisceration: A Retrospective Study and Systematic Literature Review.
眼球摘除术和眼内容剜出术预防性使用抗生素：一项回顾性研究及系统文献综述
Ophthalmic Plast Reconstr Surg. 2018 Jan/Feb;34(1):49-54. doi: 10.1097/IOP.0000000000000853.
4
Case report: atypical presentation of Mycobacterium tuberculosis uveitis preceding nodular scleritis.病例报告：结节性巩膜炎之前出现的非典型性结核性葡萄膜炎表现。
BMC Infect Dis. 2015 Oct 28;15:476. doi: 10.1186/s12879-015-1221-4.
5
A case of tuberculous endophthalmitis successfully treated with vitrectomy followed by antituberculous agents.1例结核性眼内炎经玻璃体切割术联合抗结核药物治疗成功。
J Ophthalmic Inflamm Infect. 2015 May 8;5:14. doi: 10.1186/s12348-015-0046-z. eCollection 2015.
6
Factors influencing polymerase chain reaction outcomes in patients with clinically suspected ocular tuberculosis.影响临床疑似眼结核患者聚合酶链反应结果的因素
J Ophthalmic Inflamm Infect. 2014 Mar 25;4(1):10. doi: 10.1186/1869-5760-4-10.
7
Necrotizing scleritis and peripheral ulcerative keratitis in a case of Sweet's syndrome found culture-positive for Mycobacterium tuberculosis.在一例伴有结核分枝杆菌培养阳性的Sweet综合征患者中出现坏死性巩膜炎和周边溃疡性角膜炎。
Ann Trop Med Parasitol. 2008 Sep;102(6):557-60. doi: 10.1179/136485908X311812.
8
Intraocular tuberculosis--an update.眼内结核——最新进展
Surv Ophthalmol. 2007 Nov-Dec;52(6):561-87. doi: 10.1016/j.survophthal.2007.08.015.
9
Case report of tuberculous panophthalmitis.结核性全眼球炎病例报告。
Med Sci Monit. 2004 Oct;10(10):CS57-9. Epub 2004 Sep 23.
10
Tubercular tarsitis.结核性跗骨炎
Indian J Ophthalmol. 1985 Mar-Apr;33(2):115-6.