眼部钩端螺旋体病：一个棘手诊断的报告

IF 2.6 4区医学 Q2 OPHTHALMOLOGY

Ocular Immunology and Inflammation Pub Date : 2025-02-01 Epub Date: 2024-06-26 DOI:10.1080/09273948.2024.2367651

Guilherme Macedo Souza, Heloisa Nascimento, Rubens Belfort

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引用次数: 0

摘要

目的：报告一例经血清学确诊的钩端螺旋体病引起的后葡萄膜炎病例：方法：回顾病历：13岁的男孩在洪水暴露后出现局灶性坏死性视网膜脉络膜炎。实验室检查证实患者感染了钩端螺旋体病，并进行了适当的抗生素治疗。但在后期随访期间，他又患上了麻木性角膜炎：结论：钩端螺旋体病可能是坏死性后葡萄膜炎的病因之一。结论：钩端螺旋体病可能是导致坏死性后葡萄膜炎的病因，抗菌治疗的使用存在争议，但在本病例中，抗菌治疗与皮质类固醇联合使用，导致视网膜炎症消退。尽管进行了治疗，但患者还是出现了晚期角膜翳，但并未导致视力受损。

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查看原文本刊更多论文

Ocular Leptospirosis: Report of a Challenging Diagnosis.

Purpose: To report a challenging case of serologically confirmed posterior uveitis due to leptospirosis.

Methods: Review of medical records.

Results: Thirteen-year-old boy presented focal necrotizing retinochoroiditis after flood exposure. Laboratory work-up confirmed leptospirosis infection and proper antibiotic treatment was done. The patient evolved well. but during late follow-up he developed nummular keratitis.

Conclusion: Leptospirosis is a possible etiology of necrotizing posterior uveitis. The use of antimicrobial therapy is controversial but was used in this case, in association with corticosteroids, leading to resolution of retinal inflammation. Despite treatment, the patient developed late corneal opacities, which did not lead to visual impairment.

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来源期刊

Ocular Immunology and Inflammation 医学-眼科学

CiteScore

6.20

自引率

15.20%

发文量

285

审稿时长

6-12 weeks

期刊介绍： Ocular Immunology & Inflammation ranks 18 out of 59 in the Ophthalmology Category.Ocular Immunology and Inflammation is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished manuscripts directed to ophthalmologists and vision scientists. Published bimonthly, the journal provides an international medium for basic and clinical research reports on the ocular inflammatory response and its control by the immune system. The journal publishes original research papers, case reports, reviews, letters to the editor, meeting abstracts, and invited editorials.