一个患者服用乌帕达西提尼布的细胞巨乳病毒视网膜炎:一个病例报告
Hiromasa Hirai1, Yasuhiro Akai2, Nahoko Ogata1
1Ophthalmology, Nara Medical University, Kashihara, JPN.
Cureus
|December 7, 2023
概括
乌帕达西替尼 (Upadacitinib) 是一种治疗自身免疫性疾病的药物,可导致严重的感染,如细胞巨乳病毒 (CMV) 视网膜炎. 早期检测和治疗对于受影响患者的视力恢复至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 免疫学 免疫学 免疫学
- 传染性疾病 传染性疾病
背景情况:
- 乌帕达西提尼布是一种用于自身免疫性疾病的Janus激酶 (JAK) 抑制剂.
- 与JAK抑制剂相关的免疫抑制可以增加感染风险.
- 细胞巨病毒 (CMV) 视网膜炎是一种潜在的机会性感染.
研究的目的:
- 报告患者中CMV视网膜炎的病例,该病例是用upadacitinib治疗的.
- 强调在接受上达西提尼布治疗的患者中识别CMV感染的重要性.
主要方法:
- 一个79岁的妇女的病例报告,视力下降.
- 眼科检查,包括眼底镜检查.
- 检测CMV的实验室测试 (水性幽默,玻璃体,血液).
- 用玻璃切除术,甘西克洛维尔和类固醇进行治疗.
主要成果:
- 患者呈现了严重的视力丧失和双边视网膜病变.
- 在眼液和血液中确认了CMV感染.
- 治疗后视力敏度显著改善.
结论:
- 乌帕达西替尼治疗可能与机会性CMV视网膜炎有关.
- 临床医生的意识对于及时诊断和管理至关重要.
- 及时干预可以导致视力恢复.
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