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題名 | 後天性眼弓漿蟲症--病例報告=Acquired Ocular Toxoplasmosis-- Case Report |
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作者 | 陳美榕; 潘志勤; 許淑娟; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷期 | 37:3 1998.09[民87.09] |
頁次 | 頁291-296 |
分類號 | 416.746 |
關鍵詞 | 後天性眼弓漿蟲症; Acquired ocular toxoplasmosis; ELISA; IgM; Necrotic retinochoroiditis; Vitritis; |
語文 | 中文(Chinese) |
中文摘要 | 本文提出一例後天性眼弓漿蟲症。此病例為健康狀況良好且無與貓狗接觸之過去 史的壯年男子,主訴右眼視力模糊及白色飄浮省。眼底的變化為:單一且大於視神經盤,界 線模糊之黃白色視網膜壞死區,合併廣泛的視網膜血管阻塞及玻璃體輕度混濁。螢光血管攝 影呈現病變區早期局部螢光阻礙及晚期螢光滯留,邊緣染色環,合併廣泛的血管壁染色。由 其眼底變化及血清之酵素標幟免疫檢定(ELI-SA)測其抗弓漿蟲抗體IgG及IgM均呈陽性, 證實為罕見的後天性眼弓漿蟲症。在經過抗弓漿蟲藥物的治療後,視力恢復1.2。本症早期 診斷及早期治療對預後有明顯助益。對類似的病例不應以單純的葡萄膜炎視之,而應及早以 ELISA偵測抗弓漿蟲抗體,以達早期診斷及早期治療的目標。 |
英文摘要 | We presented a case of acquired ocular toxoplasmosis. Patient was a healthy male adult who complained blurred vision and floater. He was diagnosed by characteristic ocular pictures (a large solitary yellowish-white ill-defined retinal necorotic areas; with retinal vasculitis; vitritis )and postitive esults of antitoxoplasma IgG, IgM by, ELISA in blood and aqueous. After treatment with pyrimethamine and sulphadiazine for 6 weeks, Vision acuity improved to 6/5 without recurrence during 48 months' follow-up. Since early treatment is effective for ocular toxo-plasmosis, early diagnosis is very important. The rare case of acquired ocular toxoplasmosis was presented here. |
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