病例报告 疹 Zoster Ophthalmicus 与同时发生的鼻炎
Serena Tally1, Michelle Brown1, Edmund Hsu1
1University of California, Irvine, Department of Emergency Medicine, Orange, CA.
Journal of education & teaching in emergency medicine
|July 19, 2023
概括
本案例研究呈现了一例罕见的疹眼科病例 (HZO) 在女性患者中,同时影响眼睛和双侧腺. 早期治疗导致了显著的症状改善,强调了认识到这种不寻常的呈现的重要性.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 神经学 神经学
背景情况:
- 眼疹 (Herpes zoster ophthalmicus,简称HZO) 是一种影响眼神经的水病毒 (VZV) 的重新激活.
- 炎,腺炎,可以有各种原因,包括病毒感染.
- 同时的HZO和ipsilateral鼻炎是一种非常罕见的临床表现.
研究的目的:
- 报告第一个女性患者经历疹眼膜炎与并发性侧鼻炎的记录病例.
- 描述这种罕见的同时发生的临床表现,诊断结果和治疗方法.
主要方法:
- 一个病例报告,一名36岁的免疫能力强的女性出现了头痛,面部疼痛和眼睛病变.
- 诊断工作包括体检,实验室测试 (ESR,CRP) 和部CT扫描.
- 治疗包括抗病毒药物 (瓦拉基克洛维尔),抗生素 (阿莫西西林/克拉夫兰酸) 和局部眼科/眼膜药物.
主要成果:
- 该患者表现出V1皮肤瘤囊泡病变,结膜注射,以及腺的CT发现.
- 证实了HZO与并发的ipsilateral炎的诊断.
- 经过10天的治疗过程,患者表现出明显的症状改善和疼痛减轻.
结论:
- 这一病例代表了首次报告的女性患者中HZO和ipsilateral炎的情况.
- 这些发现强调了在面部疼痛和鼻炎的差异诊断中考虑VZV再激活的重要性,即使在免疫能力强的人中也是如此.
- 及时诊断和全面治疗对于管理这种罕见的HZO并发症至关重要.
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