获得性免疫缺陷综合征中的棘阿米巴性眼内炎
Acanthamoeba endophthalmitis in acquired immunodeficiency syndrome.
作者信息
Heffler K F, Eckhardt T J, Reboli A C, Stieritz D
机构信息
Department of Ophthalmology, Allegheny University of the Health Sciences, Philadelphia, PA 19102, 1192, USA.
出版信息
Am J Ophthalmol. 1996 Oct;122(4):584-6. doi: 10.1016/s0002-9394(14)72126-9.
PURPOSE
To report the findings of Acanthamoeba endophthalmitis in a patient with acquired immunodeficiency syndrome (AIDS).
METHODS
A 35-year-old man with AIDS and Acanthamoeba infection of the skin and lungs was treated for a granulomatous uveitis in the left eye.
RESULTS
The left eye developed mutton-fat keratic precipitates, iris granulomas, cataract, hypotony, and choroidal infiltrates. Aqueous and vitreous specimens were positive for Acanthamoeba cysts. Topical and systemic antiamebic medications decreased the inflammation but failed to control the infection.
CONCLUSIONS
Acanthamoeba infection should be considered in the differential diagnosis of uveitis in patients with AIDS.
目的
报告1例获得性免疫缺陷综合征（AIDS）患者并发棘阿米巴性眼内炎的检查结果。
方法
1例35岁患AIDS且皮肤和肺部有棘阿米巴感染的男性患者因左眼肉芽肿性葡萄膜炎接受治疗。
结果
左眼出现羊脂状角膜后沉着物、虹膜肉芽肿、白内障、低眼压和脉络膜浸润。房水和玻璃体标本棘阿米巴囊肿检测呈阳性。局部和全身抗阿米巴药物减轻了炎症，但未能控制感染。
结论
AIDS患者葡萄膜炎的鉴别诊断中应考虑棘阿米巴感染。
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