Tuberculous neuroretinitis.
Tuberculous neuroretinitis.
复制标题
结核性神经视网膜炎。
DOI：
10.1097/00041327-199909000-00009
复制
发表时间：
1999
期刊：
影响因子：
--
通讯作者：
E. T. Cunningham
中科院分区：
文献类型：
--
作者：
S. Stechschulte;R. Y. Kim;E. T. Cunningham
目标
描述一位患有结核性神经视网膜炎的病人。
材料和方法
回顾性病例报告。
结果
我们描述了一位43岁的女性，在其他方面没有症状，有已知的结核病暴露，她有单侧视盘水肿和部分黄斑星状病变(神经性视网膜炎)。大约一年后，在双侧多灶性脉络膜炎的背景下，渗出性视网膜脱离的发展。实验室检测显示，对纯化蛋白衍生物(PPD)的皮肤反应明显阳性。单用抗结核药物治疗后，脉络膜渗出物迅速消退，渗出性脱离完全平坦。
结论
在神经性视网膜炎的鉴别诊断中应考虑结核。
OBJECTIVES
To describe a patient with tuberculous neuroretinitis.
MATERIALS AND METHODS
Retrospective case report.
RESULTS
We describe a 43-year-old otherwise asymptomatic woman with a known exposure to tuberculosis who had unilateral optic disc edema and a partial macular star (neuroretinitis). This was followed approximately 1 year later by the development of an exudative retinal detachment in the setting of bilateral multifocal choroiditis. Laboratory testing revealed a marked positive cutaneous reaction to purified protein derivative (PPD). Treatment with antituberculosis medicine alone resulted in prompt resolution of the choroidal infiltrates and complete flattening of the exudative detachment.
CONCLUSIONS
Tuberculosis should be considered in the differential diagnosis for patients with neuroretinitis.