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一名获得性免疫缺陷综合征患者的双侧弓形虫视网膜脉络膜炎。

Bilateral toxoplasma retinochoroiditis in a patient with acquired immune deficiency syndrome.

作者信息

Heinemann M H, Gold J M, Maisel J

出版信息

Retina. 1986 Winter;6(4):224-7. doi: 10.1097/00006982-198606040-00006.

DOI:10.1097/00006982-198606040-00006
PMID:3575890
Abstract

A 32-year-old patient with acquired immune deficiency syndrome (AIDS) was evaluated for bilateral visual loss accompanied by uveitis, vitritis and retinochoroiditis. Diagnostic vitrectomy was performed on the right eye, and the diagnosis of ocular toxoplasmosis made. Central nervous system involvement was suggested by ring enhancing lesions on CT scan. The patient improved on a pyrimethamine, sulfadiazine and clindamycin, but succumbed to disseminated toxoplasmosis when treatment was discontinued.

摘要

一名32岁的获得性免疫缺陷综合征(艾滋病)患者因双眼视力丧失并伴有葡萄膜炎、玻璃体炎和视网膜脉络膜炎而接受评估。对右眼进行了诊断性玻璃体切除术,诊断为眼部弓形虫病。CT扫描显示环形强化病变提示中枢神经系统受累。患者在使用乙胺嘧啶、磺胺嘧啶和克林霉素治疗后病情有所改善,但在停药后死于播散性弓形虫病。

相似文献

1
Bilateral toxoplasma retinochoroiditis in a patient with acquired immune deficiency syndrome.一名获得性免疫缺陷综合征患者的双侧弓形虫视网膜脉络膜炎。
Retina. 1986 Winter;6(4):224-7. doi: 10.1097/00006982-198606040-00006.
2
Diffuse toxoplasmic retinochoroiditis as the initial manifestation of acquired immunodeficiency syndrome.弥漫性弓形体视网膜脉络膜炎作为获得性免疫缺陷综合征的初始表现
J Formos Med Assoc. 2000 Mar;99(3):219-23.
3
Toxoplasma gondii retinochoroiditis and optic neuritis in acquired immune deficiency syndrome. Report of a case.获得性免疫缺陷综合征中的弓形虫视网膜脉络膜炎和视神经炎。病例报告。
Ophthalmology. 1990 Oct;97(10):1342-6. doi: 10.1016/s0161-6420(90)32412-0.
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Differential diagnosis of retinitis and choroiditis in patients with acquired immunodeficiency syndrome.
Am J Med. 1992 Feb 14;92(2A):17S-21S. doi: 10.1016/0002-9343(92)90332-6.
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Role of clindamycin in the treatment of central nervous system toxoplasmosis.
Am J Med. 1987 Sep;83(3):551-4. doi: 10.1016/0002-9343(87)90769-8.
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[Ocular toxoplasmosis in AIDS].
Ann Med Interne (Paris). 1990;141(5):472-4.
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Toxoplasmic retinochoroiditis caused by Toxoplasma gondii strain ToxoDB#65.
Acta Trop. 2018 Sep;185:419-421. doi: 10.1016/j.actatropica.2018.05.021. Epub 2018 May 31.
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[Ocular toxoplasmosis in patients with acquired immunodeficiency syndrome].[获得性免疫缺陷综合征患者的眼部弓形虫病]
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Fulminant toxoplasmic retinochoroiditis following intravitreal triamcinolone administration.玻璃体腔内曲安奈德注射后暴发性弓形体性视网膜炎脉络膜炎。
Indian J Ophthalmol. 2012 Mar-Apr;60(2):141-3. doi: 10.4103/0301-4738.94059.
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Clindamycin therapy of cerebral toxoplasmosis in an AIDS patient.艾滋病患者脑弓形虫病的克林霉素治疗
Scand J Infect Dis. 1988;20(5):561-3. doi: 10.3109/00365548809032507.

引用本文的文献

1
Acquired Immunodeficiency Syndrome Presented as Atypical Ocular Toxoplasmosis.获得性免疫缺陷综合征表现为非典型眼弓形虫病。
Case Rep Ophthalmol Med. 2021 May 1;2021:5512408. doi: 10.1155/2021/5512408. eCollection 2021.
2
Diagnostic pars plana vitrectomy report of a 21-year retrospective study.一项21年回顾性研究的诊断性玻璃体切割术报告。
Trans Am Ophthalmol Soc. 1995;93:281-308; discussion 308-14.
3
Ocular toxoplasmosis in the immunocompromised host.免疫功能低下宿主的眼部弓形虫病
Int Ophthalmol. 1989 Dec;13(6):399-402. doi: 10.1007/BF02306488.
4
Diffuse necrotizing retinochoroiditis in a child with AIDS and toxoplasmic encephalitis.一名患有艾滋病和弓形虫性脑炎的儿童出现弥漫性坏死性视网膜脉络膜炎。
Graefes Arch Clin Exp Ophthalmol. 1990;228(1):36-9. doi: 10.1007/BF02764288.
5
Ocular toxoplasmosis in AIDS patients.艾滋病患者的眼部弓形虫病。
Trans Am Ophthalmol Soc. 1990;88:63-86; discussion 86-8.