霍奇金病中的内源性眼内星形诺卡菌

Endogenous intraocular Nocardia asteroides in Hodgkin's disease.

作者信息

Lissner G S, O'Grady R, Choromokos E

出版信息

Am J Ophthalmol. 1978 Sep;86(3):388-94. doi: 10.1016/0002-9394(78)90244-1.

Abstract

A 60-year-old man receiving antituberculous and corticosteroid therapy for a granulomatous disease of uncertain etiology was found to have a chorioretinal mass in his right eye. Fluorescein angiography showed blockage of fluorescence by the mass and late leakage. Autopsy findings were compatible with Hodgkin's disease with disseminated nocardiosis caused by Nocardia asteroides. Organisms typical of Nocardia were found in the choroid and subretinal space. The patient's history, ophthalmic examination, and fluorescein angiographic findings suggested a type of chorioretinal involvement.

摘要

一名60岁男性因病因不明的肉芽肿性疾病接受抗结核和皮质类固醇治疗，右眼发现脉络膜视网膜肿物。荧光素血管造影显示肿物遮挡荧光且晚期渗漏。尸检结果符合霍奇金病合并由星形诺卡菌引起的播散性诺卡菌病。在脉络膜和视网膜下间隙发现了典型的诺卡菌。患者的病史、眼科检查及荧光素血管造影结果提示为一种脉络膜视网膜受累类型。