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題 名 | Progression of Cytomegalovirus Retinitis in Acquired Immunodeficiency Syndrome: A Case Report=愛滋病患者合併罹患巨細胞病毒視網膜炎之病程變化:一病例報告 |
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作 者 | 邱士華; 王永衛; 許紋銘; 張由美; 劉正義; 劉武哲; 陳守堅; 劉榮宏; | 書刊名 | 中華醫學雜誌 |
卷 期 | 62:5 1999.05[民88.05] |
頁 次 | 頁316-321 |
分類號 | 416.746 |
關鍵詞 | 愛滋病; 巨細胞病毒視網膜炎; 間接眼底鏡檢查; Acquired immunodeficiency syndrome; Cytomegalovirus retinitis; Fundus examination; |
語 文 | 英文(English) |
中文摘要 | 巨細胞病毒視網膜炎是愛滋病患者眼部最常見的感染。此病為一漸進破壞性之 疾病,由於部份病患早期察覺不到明顯的視力減退症狀,因此常會延遲診斷及治療,最後 導致失明。本文報告一33歲男性愛滋病病例,他初始並無發覺任何視力減退或變化,眼部 也並無感到任何不適。經散大瞳孔作間接眼底鏡檢查,發現位於右眼顧側週邊視網膜有一 顆粒狀黃白相間的壞死病灶,因而診斷為顆粒狀巨細胞病毒視網膜炎。但由於使用 ganciclovir治療之療程不足,造成眼底病灶不斷擴大,最後累及視神經盤,引至視力幾 近失明,期間約為6個月。因此建議愛滋病患者應接受例行陸的眼底散瞳檢查,以使早期 診斷。而一旦發現已罹患巨細胞病毒視網膜炎,更應接受完整的抗病毒治療,以搶救視力 。 |
英文摘要 | We report an AIDS patient with cytomegalovirus (CMV) retinitis that developed from an early minor lesion and progressed to extended involvement of the retina and severe deterioration of vision due to poor compliance with ganciclovir treatment. A 33-year-old man was known to have acquired immunodeficiency syndrome (AIDS) for eight months. The patient had no complaint of visual symptoms. A routine eye examination revealed his visual acuity to be 6/6 in both eyes. The dilated eye fundus examination using indirect ophthalmoscopy disclosed a localized white yellowish granular lesion in the peripheral retina of the right eye and a completely normal left eye. CMV retinitis with initial manifestation in the right eye was diagnosed. Due to incomplete treatment with ganciclovir, the retinal lesion rapidly enlarged and extended to the posterior pole, with eventual destruction of the nerve fiber layer and optic disc. The visual acuity of right eye dropped from 6/6 to 1/60 within six months. This case report indicates the importance of early, dilated eye fundus examination and recognition of early CMV retinitis in order to salvage visual function in AIDS patients. Completion of the anti-CMV treatment course in halting the progression of CMV retinitis is also emphasized. |
本系統中英文摘要資訊取自各篇刊載內容。