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弓形虫性神经视网膜炎

Toxoplasma Neuroretinitis.

作者信息

Hsu Christine, Uwaydat Sami H, Chacko Joseph G

机构信息

Department of Ophthalmology, Jones Eye Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.

出版信息

Case Rep Ophthalmol. 2022 Sep 30;13(3):751-755. doi: 10.1159/000526682. eCollection 2022 Sep-Dec.

Abstract

Neuroretinitis is an inflammatory condition with rapid unilateral vision loss, optic disc edema, and macular star formation. While neuroretinitis is commonly due to infectious causes such as , neuroretinitis due to toxoplasmosis is uncommon. A 29-year-old male presents to our neuro-ophthalmology clinic on December 7, 2021, at the University of Arkansas for Medical Sciences with symptoms of left eye pain and blurred vision. Subsequent workup led to the diagnosis and treatment of toxoplasma neuroretinitis. The fundus exam eventually demonstrated a notable macular star. Treatment was well tolerated, and the patient regained total visual acuity in the affected eye. Toxoplasma neuroretinitis is known for a characteristic appearance of optic disc edema prior to appearance of stellate maculopathy with vitreous inflammation and peripheral chorioretinal scars. Although loss of vision due to toxoplasmosis is rare, it should be included as part of the differential diagnosis with pertinent history.

摘要

视神经视网膜炎是一种炎症性疾病,伴有迅速的单侧视力丧失、视盘水肿和黄斑星芒状渗出。虽然视神经视网膜炎通常由感染性病因引起,如 ,但由弓形虫病引起的视神经视网膜炎并不常见。一名29岁男性于2021年12月7日到阿肯色大学医学科学分校的神经眼科门诊就诊,主诉左眼疼痛和视力模糊。随后的检查确诊并治疗了弓形虫性视神经视网膜炎。眼底检查最终发现了明显的黄斑星芒状渗出。治疗耐受性良好,患者患眼视力完全恢复。弓形虫性视神经视网膜炎的特征是在星芒状黄斑病变出现之前出现视盘水肿,并伴有玻璃体炎症和周边脉络膜视网膜瘢痕。虽然由弓形虫病导致的视力丧失很少见,但结合相关病史,应将其纳入鉴别诊断范围。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1fa/9944202/e1fd0b3e2876/cop-0013-0751-g01.jpg

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