腺病毒继发的反应性感染性粘膜皮肤疹（RIME）的眼部表现：1例报告

Q3 Medicine

American Journal of Ophthalmology Case Reports Pub Date : 2025-06-07 DOI:10.1016/j.ajoc.2025.102363

L.H. Young , S.B. Kim , J.S. Takhar , L.D. Sun , K.M. White , A.F. Omar

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引用次数: 0

摘要

目的：报告一例因原发性腺病毒感染引起的非典型反应性感染性粘膜皮肤疹（RIME）。这是一个描述了一个先前健康的34岁男性的临床过程，他表现为急性性尿道炎和双侧结膜炎。他的左眼结膜炎在几天内发展为假膜和睑球粘连。他的临床过程以尿道炎的逐渐恶化和粘膜溃疡和大疱的形成为特征，即使在抗生素治疗和积极的局部润滑后也是如此。他要求住院治疗，多学科小组诊断为腺病毒诱导的RIME。静脉注射类固醇和环孢素。他最终恢复了良好的视觉效果。结论和重要性：本病例是由腺病毒感染引起的成人罕见的RIME病例。多学科护理是诊断和治疗的关键。

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Ocular manifestations of reactive infectious mucocutaneous eruption (RIME) secondary to adenovirus: A case report

Purpose

To present an atypical case of reactive infectious mucocutaneous eruption (RIME) in an adult patient attributed to primary adenoviral infection.

Observations

This is a case describing the clinical course of a previously healthy 34-year old man who presented with acute onset urethritis and bilateral conjunctivitis. His left eye conjunctivitis progressed to pseudomembrane and symblepharon formation within days. His clinical course was marked by progressive worsening of urethritis and formation of mucus membrane ulceration and bullae even after antibiotic treatment and aggressive topical lubrication. He required admission and a multidisciplinary team made the diagnosis of adenovirus-induced RIME. He was treated with intravenous steroids and intravenous cyclosporine. He ultimately recovered with a good visual outcome.

Conclusions and importance

This case demonstrates a rare case of RIME in an adult triggered by an adenovirus infection. Multidisciplinary care is key to diagnosis and treatment.

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来源期刊

American Journal of Ophthalmology Case Reports Medicine-Ophthalmology

CiteScore

2.40

自引率

0.00%

发文量

513

审稿时长

16 weeks

期刊介绍： The American Journal of Ophthalmology Case Reports is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished case report manuscripts directed to ophthalmologists and visual science specialists. The cases shall be challenging and stimulating but shall also be presented in an educational format to engage the readers as if they are working alongside with the caring clinician scientists to manage the patients. Submissions shall be clear, concise, and well-documented reports. Brief reports and case series submissions on specific themes are also very welcome.