一名获得性免疫缺陷综合征患者的疑似眼和中枢神经系统结核
Presumed ocular and central nervous system tuberculosis in a patient with the acquired immunodeficiency syndrome.
作者信息
Muccioli C, Belfort R
机构信息
Department of Ophthalmology, Federal University of São Paulo, Paulista School of Medicine, São Paulo Hospital, Brazil.
出版信息
Am J Ophthalmol. 1996 Feb;121(2):217-9. doi: 10.1016/s0002-9394(14)70592-6.
PURPOSE
To elucidate a case of tuberculous choroiditis in a patient with the acquired immunodeficiency syndrome (AIDS).
METHODS
We treated a 35-year-old woman who had AIDS with neurologic involvement caused by Mycobacterium tuberculosis. She developed a yellow-white chorioretinal infiltrate with indistinct borders and mild vitreitis in the right eye, probably caused by this pathogen.
RESULTS
The patient's visual acuity improved in the right eye with healing of the ocular lesion and her neurologic condition improved after specific therapy with isoniazid, rifampin, and ethambutol.
CONCLUSION
Tuberculosis must be considered in the differential diagnosis of posterior uveitis and choroiditis in AIDS patients.
目的
阐明1例获得性免疫缺陷综合征（AIDS）患者的结核性脉络膜炎病例。
方法
我们治疗了1例35岁患AIDS且有结核分枝杆菌所致神经系统受累的女性患者。她右眼出现了边界不清的黄白色脉络膜视网膜浸润及轻度玻璃体炎，可能由该病原体引起。
结果
经异烟肼、利福平及乙胺丁醇特异性治疗后，患者眼部病变愈合，右眼视力提高，神经系统状况也有所改善。
结论
AIDS患者发生后葡萄膜炎和脉络膜炎时，鉴别诊断必须考虑结核病。
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