丹尼尔

IF 5.1 2区医学 Q1 OPHTHALMOLOGY

Survey of ophthalmology Pub Date : 2024-05-13 DOI:10.1016/j.survophthal.2024.05.003

M. Tariq Bhatti, Jennifer R Long, Andrew R Carey

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引用次数: 0

摘要

一名 51 岁的男子因视力下降、发热、精神错乱、头痛、烦躁、恶心、呕吐和腹泻就诊。脑部磁共振成像显示，颞叶中叶和视神经放射区域出现双侧 T2 超强病变。脑脊液（CSF）中主要是多形核白细胞增多，并伴有高蛋白血症。诊断为脑膜脑炎。静脉荧光素血管造影显示，左眼出现线状多灶性脉络膜视网膜炎。脑脊液酶联免疫吸附试验显示西尼罗河病毒（WNV）IgM呈阳性。我们回顾了 WNV 疾病的临床表现，并强调了 IVFA 在确定诊断方面的诊断价值。

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Denial.

A 51-year-old man presented with decreased vision, fever, confusion, headaches, agitation, nausea, vomiting and diarrhea. Magnetic resonance imaging of the brain demonstrated bilateral T2 hyperintense lesions in the region of the mesial temporal lobe and optic radiations. There was a predominantly polymorphonuclear leukocyte pleocytosis in the cerebrospinal fluid (CSF) with hyperproteinorachia. A meningoencephalitis was diagnosed. Intravenous fluorescein angiography (IVFA) demonstrated a multifocal chorioretinitis that was in a linear pattern in the left eye. CSF enzyme-linked immunosorbent assay was positive for West Nile virus (WNV) IgM. We review the clinical manifestations of WNV disease and highlight the value of IVFA in determining the diagnosis.

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来源期刊

Survey of ophthalmology 医学-眼科学

CiteScore

10.30

自引率

2.00%

发文量

138

审稿时长

14.8 weeks

期刊介绍： Survey of Ophthalmology is a clinically oriented review journal designed to keep ophthalmologists up to date. Comprehensive major review articles, written by experts and stringently refereed, integrate the literature on subjects selected for their clinical importance. Survey also includes feature articles, section reviews, book reviews, and abstracts.