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病例报告:登革热相关的急性黄斑神经网膜病变
How-Chen Wang1, Chia-Ching Lin2, Chia-Hsin Chang1
1School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Frontiers in medicine
|April 8, 2024
概括
登革热 (DF) 可以导致急性黄斑神经联症 (AMN),这是一个罕见的视力并发症. 早期识别和多学科护理对于管理这种具有挑战性的登革热病毒 (DENV) 现象至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 神经科学是一个神经科学.
背景情况:
- 登革热 (DF) 是一种由蚊子传播的病毒性疾病,呈现出各种系统性症状.
- 人们越来越多地认识到登革热病毒 (DENV) 感染的眼部表现.
- 急性斑点神经红斑病变 (AMN) 是DF的罕见但显著的眼科并发症.
研究的目的:
- 报告一个台湾女性的DENV-1相关AMN病例.
- 要突出与DF相关的眼部并发症的诊断和治疗挑战.
- 强调需要提高对登革热相关的AMN的认识和多学科管理.
主要方法:
- 一个41岁的女性患有DENV-1感染的病例报告.
- 眼科检查,包括评估斑点,圆形区域 (EZ) 透和皮.
- 用脉冲皮质类固醇治疗进行治疗.
主要成果:
- 患者在DF发作后10天出现了视力模糊和AMN.
- 眼科发现包括黄斑胀,EZ透和毛囊卷入.
- 尽管接受了皮质类固醇治疗,但视觉障碍仍然存在,这表明管理存在挑战.
结论:
- 与DF相关的AMN是一种罕见的并发症,需要警的眼科监测.
- 对于DF-AMN的有效管理策略仍然具有挑战性,可能导致持续的视力损伤.
- 需要进一步的研究来优化治疗方案,并改善登革热眼部并发症的治疗结果.
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