查詢結果分析
相關文獻
- Progressive Outer Retinal Necrosis Syndrome as an Early Manifestation of Human Immunodeficiency Virus Infection
- Acute Retinal Necrosis-Early Manifestation and Successful Treatment with Steroid and Acyclovir: Case Report
- 急性視網膜壞死症候群的病例報告及治療趨勢
- Surgical Treatment of Retinal Detachment Following Acute Retinal Necrosis Syndrome: Surgical Results in Four Patients
頁籤選單縮合
題 名 | Progressive Outer Retinal Necrosis Syndrome as an Early Manifestation of Human Immunodeficiency Virus Infection=發生於人類免疫缺陷病毒感染早期之進行性外層視網膜壞死症 |
---|---|
作 者 | 楊中美; 王裕煒; 林昌平; | 書刊名 | 臺灣醫學會雜誌 |
卷 期 | 98:2 1999.02[民88.02] |
頁 次 | 頁141-144 |
分類號 | 416.746 |
關鍵詞 | 人類免疫缺陷病毒感染; 視網膜壞死症; Progressive outer retinal necrosis; Acute retinal necrosis; Acquired immune deficiency syndrome; AIDS; |
語 文 | 英文(English) |
英文摘要 | Progressive outer retinal necrosis syndrome is a recently recognized variant of necrotizing herpetic retinopathy, developing in patients with acquired immune deficiency syndrome (AIDS) or other conditions causing immune compromise. We report a case in which the diagnosis of retinal necrosis syndrome was made before the diagnosis of AIDS was confirmed. A 41-year-old man presented with a 1-month history of blurred vision in his left eye. Ophthalmologic examination revealed extensive retinal necrosis with total retinal detachment in his left eye and multifocal deep retinal lesions scattered in the posterior fundus as well as in the peripheral retina in his right eye. The serologic test for human immunodeficiency virus (HIV) was positive. Despite intravenous acyclovir treatment for 1 week, the lesions in the right eye showed rapid progression. High doses of intravitreal ganciclovir were then given in addition to intravenous acyclovir. After combined treatment for 1 month, the lesions became quiescent and the visual acuity improved to 20/30. Although the patient soon developed full-blown AIDS, the vision in his right eye remained undisturbed. Physicians should suspect progressive outer retinal necrosis syndrome in any patient with rapidly progressive necrotizing retinopathy and test the patient for HIV infection. Aggressive combined antiviral agent therapy should be considered to save vision. |
本系統中英文摘要資訊取自各篇刊載內容。