Yamada S, Tsumura N, Nagai K, Yamada T, Sakata Y, Tominaga K, Kato H, Motohiro T, Masunaga N, Mochizuki M
Department of Pediatrics, Kurume University School of Medicine.
Kansenshogaku Zasshi. 1994 Dec;68(12):1543-7. doi: 10.11150/kansenshogakuzasshi1970.68.1543.
A case of uncommon iritis due to Chlamydia pneumoniae (C. pneumoniae) is reported. The patient was a 9-year-old boy who had suffered from cough, pharyngeal pain, and low grade fever. The symptoms persisted for more than 1 month in spite of an oral cephem antibiotic. Ophthalmalgia, congestion around the iris and cough had lasted with alleviation and exacerbation. A diagnosis of C. pneumoniae infection was made by specific polymerase chain reaction (PCR) method and microimmunofluorescence test (MIF). The symptoms subsided with administration of clarithromycin (CAM: 300 mg/day) for 2 weeks. Because of the simultaneous alleviation of iritis, C. pneumoniae infection was considered to introduce the iritis. Much remains to be clarified about this pathogenesis of iritis and more detailed evaluations are required.
报告了一例由肺炎衣原体（C. pneumoniae）引起的罕见虹膜炎病例。患者为一名9岁男孩，曾出现咳嗽、咽痛和低热症状。尽管口服了头孢菌素抗生素，但症状持续了1个多月。眼痛、虹膜周围充血和咳嗽症状持续存在，时有缓解和加重。通过特异性聚合酶链反应（PCR）方法和微量免疫荧光试验（MIF）确诊为肺炎衣原体感染。服用克拉霉素（CAM：300mg/天）2周后症状缓解。由于虹膜炎同时缓解，因此认为肺炎衣原体感染引发了虹膜炎。关于这种虹膜炎的发病机制仍有许多有待阐明之处，需要进行更详细的评估。
