Vitritis and chorioretinitis in a patient with West Nile virus infection
Vitritis and chorioretinitis in a patient with West Nile virus infection
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DOI：
10.1001/archopht.121.2.205
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发表时间：
2003-02-01
影响因子：
--
通讯作者：
Parnell, JR
中科院分区：
文献类型：
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作者：
Bains, HS;Jampol, LM;Parnell, JR
目的：描述一名被诊断为急性西尼罗河病毒感染的患者的视力结果、眼底外观和荧光素血管造影结果。方法：我们进行了全面的眼科检查，包括视力测试和裂隙灯和眼底检查，沿着荧光素血管造影，并在初始和随访时进行。结果：一位62岁的白色女性，左眼有2周的飞蚊症病史，沿着疲劳、左侧前额头痛和低热症状。她被发现有前葡萄膜炎、玻璃体炎、左眼有非坏死性脉络膜视网膜炎，右眼有类似但较轻的发现。前葡萄膜炎对外用类固醇有反应。由于持续发热和疲劳，西尼罗河病毒免疫球蛋白M的血清学试验进行，结果被发现是积极的这种diseases.Conclusion：这些独特的眼睛的发现，沿着相关的全身体征和症状，可以潜在地表明感染西尼罗河病毒。
Objective: To describe the visual outcome, fundus appearance, and fluorescein angiographic findings of a patient diagnosed as having acute West Nile virus infection.Methods: We conducted comprehensive eye examinations, including visual acuity testing and slitlamp and fundus examinations, along with fluorescein angiography at the initial and follow-up visits.Results: A 62-year-old white woman had a 2-week history of floaters in her left eye along with symptoms of fatigue, a left-sided frontal headache, and a low-grade fever She was found to have anterior uveitis, vitritis, and nonnecrotizing chorioretinitis in her left eye with similar but milder findings in the right eye. The anterior uveitis responded to topical steroids. Because of continued fevers and fatigue, a serologic test for West Nile virus immunoglobulin M was performed, and the results were found to be positive for this disease.Conclusion: These unique eye findings, along with associated systemic signs and symptoms, can potentially indicate infection with the West Nile virus.