隐球菌性脉络膜视网膜炎

Cryptococcal chorioretinitis.

作者信息

Shields J A, Wright D M, Augsburger J J, Wolkowicz M I

出版信息

Am J Ophthalmol. 1980 Feb;89(2):210-7. doi: 10.1016/0002-9394(80)90113-0.

Abstract

A 40-year-old man developed obstructive hydrocephalus of uncertain cause followed by bilateral intraocular inflammation, which was initially diagnosed as toxoplasmic retinochoroiditis. When visual acuity in the left eye decreased to no light perception and vision in the right eye was failing, a diagnostic enucleation of the blind left eye was performed. A diagnosis of cryptococcal endophthalmitis was established and the remaining right eye showed improvement after systemic anticryptococcal therapy.

摘要

一名40岁男性出现病因不明的梗阻性脑积水，随后发生双侧眼内炎症，最初被诊断为弓形虫性视网膜脉络膜炎。当左眼视力降至无光感且右眼视力逐渐下降时，对失明的左眼进行了诊断性眼球摘除术。确诊为隐球菌性眼内炎，全身抗隐球菌治疗后，剩余的右眼病情有所改善。