免疫功能低下患者继发于肺囊虫肺炎的purtscher样视网膜病变1例报告。

IF 0.7 Q4 OPHTHALMOLOGY
Alastair David Bezzina, Isaac Bertuello
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引用次数: 0

摘要

据我们所知,我们报告了第一例年轻成年男性,在活体供体肾移植后长期免疫抑制治疗,继发于乙基肺囊虫肺炎(PCP)的珀茨样视网膜病变(PLR)。患者接受常规医学随访,主诉在轻微用力后出现呼吸困难和心动过速数周,随后出现急性双侧视力模糊。不幸的是,患者对皮质类固醇治疗没有反应,随后视力严重受损。本病例报告扩展了PLR背后的病因谱,并有助于描述在某些情况下导致严重缺血性后遗症的疾病过程。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

A Case Report of Purtscher-Like Retinopathy Secondary to <i>Pneumocystis jirovecii</i> Pneumonia in an Immunocompromised Patient.

A Case Report of Purtscher-Like Retinopathy Secondary to <i>Pneumocystis jirovecii</i> Pneumonia in an Immunocompromised Patient.

A Case Report of Purtscher-Like Retinopathy Secondary to <i>Pneumocystis jirovecii</i> Pneumonia in an Immunocompromised Patient.

A Case Report of Purtscher-Like Retinopathy Secondary to Pneumocystis jirovecii Pneumonia in an Immunocompromised Patient.

To the best of our knowledge, we present the first case of a young adult male, on long-term immunosuppressive therapy following a live-donor kidney transplant, with Purtscher-like retinopathy (PLR) secondary to Pneumocystis jirovecii pneumonia (PCP). The patient had presented to a routine medical follow-up and complained of a few weeks' history of dyspnoea and tachycardia after minimal exertion followed by acute bilateral blurring of vision. Unfortunately, the patient did not respond to a trial of corticosteroid treatment and subsequently became severely visually impaired. This case report expands the aetiological spectrum behind PLR and helps portray the disease process which, in some cases, leads to severe ischaemic sequelae.

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