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TOXOPLASMOSIS RETINOCHOROIDITIS MASQUERADING AS ENDOGENOUS ENDOPHTHALMITIS IN A CASE OF CONGENITAL LONG QT SYNDROME.先天性长 QT 综合征致弓形虫视网膜炎脉络膜炎伪装为内源性眼内炎
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Long-term Results of Trimethoprim-Sulfamethoxazole Versus Placebo to Reduce the Risk of Recurrent Toxoplasma gondii Retinochoroiditis.复方磺胺甲噁唑与安慰剂降低复发性弓形体视网膜炎风险的长期结果。
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When biology supports clinical diagnosis: review of techniques to diagnose ocular toxoplasmosis.当生物学支持临床诊断时:眼部弓形虫病诊断技术综述。
Br J Ophthalmol. 2019 Jul;103(7):1008-1012. doi: 10.1136/bjophthalmol-2019-313884. Epub 2019 May 14.
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A prospective randomized trial of azithromycin versus trimethoprim/sulfamethoxazole in treatment of toxoplasmic retinochoroiditis.阿奇霉素与甲氧苄啶/磺胺甲恶唑治疗弓形虫性视网膜脉络膜炎的前瞻性随机试验。
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Corticosteroids as adjuvant therapy for ocular toxoplasmosis.皮质类固醇作为眼部弓形虫病的辅助治疗
Cochrane Database Syst Rev. 2017 Jan 26;1(1):CD007417. doi: 10.1002/14651858.CD007417.pub3.
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Toxoplasmosis Retinitis Masquerading as Acute Retinal Necrosis.
Ophthalmic Surg Lasers Imaging Retina. 2016 Oct 1;47(10):895-899. doi: 10.3928/23258160-20161004-01.
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Local treatment of toxoplasmic retinochoroiditis with intravitreal clindamycin and dexamethasone.玻璃体内注射克林霉素和地塞米松对弓形虫性视网膜脉络膜炎的局部治疗
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Intravitreal clindamycin plus dexamethasone versus classic oral therapy in toxoplasmic retinochoroiditis: a prospective randomized clinical trial.玻璃体内注射克林霉素联合地塞米松与经典口服疗法治疗弓形虫性视网膜脉络膜炎的前瞻性随机临床试验
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Azithromycin versus Sulfadiazine and Pyrimethamine for non-vision-threatening toxoplasmic retinochoroiditis: a pilot study.阿奇霉素与磺胺嘧啶和乙胺嘧啶治疗非威胁视力的弓形虫性视网膜炎:一项初步研究。
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Epidemiology of and diagnostic strategies for toxoplasmosis.弓形虫病的流行病学和诊断策略。
Clin Microbiol Rev. 2012 Apr;25(2):264-96. doi: 10.1128/CMR.05013-11.

眼部弓形虫病:对化装舞会并不陌生。

Ocular Toxoplasmosis: No Stranger to the Masquerade Ball.

作者信息

Dillon Alexander B, Budoff Greg, McCannel Colin A, Tsui Edmund, Pullarkat Sheeja T, Schwartz Steven D

机构信息

Vitreoretinal Surgery Service, UCLA Jules Stein Eye Institute, Los Angeles, CA, USA.

Uveitis Service, UCLA Jules Stein Eye Institute, Los Angeles, CA, USA.

出版信息

J Vitreoretin Dis. 2021 Dec 7;6(5):391-398. doi: 10.1177/24741264211056769. eCollection 2022 Sep-Oct.

DOI:10.1177/24741264211056769
PMID:37006900
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9954925/
Abstract

PURPOSE

This article illustrates multiple atypical manifestations of ocular toxoplasmosis masquerading as acute retinal necrosis and vitreoretinal lymphoma.

METHODS

Two case presentations are discussed, and the body of pertinent literature is reviewed and discussed.

RESULTS

In these cases, an extensive workup and attention to history lead to the correct diagnosis and management.

CONCLUSIONS

Aggressive cases of ocular toxoplasmosis may present in a variety of phenotypes that may mimic other vision- and potentially life-threatening conditions, particularly in a milieu of inadequate endogenous and exogenous antimicrobial defenses.

摘要

目的

本文阐述了眼部弓形虫病伪装成急性视网膜坏死和玻璃体视网膜淋巴瘤的多种非典型表现。

方法

讨论了两个病例报告,并对相关文献进行了回顾和讨论。

结果

在这些病例中,广泛的检查和对病史的关注促成了正确的诊断和处理。

结论

侵袭性眼部弓形虫病可能呈现多种表型,可模仿其他影响视力及可能危及生命的病症,尤其是在内源性和外源性抗菌防御不足的情况下。