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年轻男性患者中布鲁氏菌相关性葡萄膜炎的一种不常见表现。

An Unusual Manifestation of Brucella-Associated Uveitis in a Young Male Patient.

机构信息

Medical School, University of Nicosia, Nicosia, Cyprus.

Ophthalmology, University General Hospital of Ioannina, Ioannina, Greece.

出版信息

Klin Monbl Augenheilkd. 2024 Jan;241(1):84-87. doi: 10.1055/a-2034-2180. Epub 2023 Feb 13.

Abstract

This is a unique case of retinoschisis as an ocular manifestation of brucellosis. A 38-year-old male presented with recurrent episodes of bilateral eye redness, predominately in his left eye. His visual acuity was not affected, and he did not report any other symptoms. On slit lamp examination, binocular Koeppe nodules of the iris and cells in the left anterior chamber were observed. Fundoscopy followed by meticulous multimodal imaging confirmed left inferior retinoschisis. The patient was diagnosed with panuveitis, and a series of laboratory examinations revealed positive anti-IgM antibodies. Ocular brucellosis can cause variable, atypical, and serious presentations, hence, early diagnosis is paramount to avoid complications.

摘要

这是一例以视网膜劈裂为眼部表现的布鲁氏菌病的罕见病例。一名 38 岁男性因双眼反复出现眼红就诊,主要为左眼。其视力不受影响,也未报告其他任何症状。裂隙灯检查发现双眼虹膜的 Koeppe 结节和左眼前房细胞。眼底镜检查后,进行了详细的多模态成像检查,证实为左眼下方视网膜劈裂。该患者被诊断为全葡萄膜炎,一系列实验室检查显示抗 IgM 抗体阳性。眼部布鲁氏菌病可引起多变、非典型和严重的表现,因此早期诊断至关重要,可避免并发症。

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