病例报告:在局部和全身免疫抑制后的CMV视网膜炎
Bryant A Menke1, William Wagner2, Helen Song1
1Department of Ophthalmology, Truhlsen Eye Institute, University of Nebraska Medical Center, Omaha, NE, United States.
Frontiers in ophthalmology
|July 10, 2024
概括
一位移植患者在接受了德克萨米他植入物后出现了细胞巨乳病毒视网膜炎. 用内福斯卡内和口服瓦尔甘克洛维尔治疗导致疾病回归和视力稳定.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 移植医学 移植医学
背景情况:
- 细胞巨病毒 (CMV) 视网膜炎是一种严重的眼部并发症,特别是在免疫力低下的人群中.
- 内类固醇植入物,如德克萨米他,用于各种视网膜疾病,但可能会增加感染风险.
- 接受脏移植的接受者有较高的机会性感染风险,包括CMV疾病.
研究的目的:
- 报告一个罕见的细胞巨乳病毒视网膜炎病例,该病例是在内德克萨米他植入移植接受者体内后发生的.
- 突出这一特定患者的临床表现,管理和结果.
- 强调在眼科干预后,在免疫功能低下的患者中考虑机会性感染的重要性.
主要方法:
- 一名71岁的男性移植接受者出现了单边的CMV视网膜炎.
- 眼部检查显示了视网膜炎的特征迹象,包括视网膜出血和白化.
- 治疗涉及连续的内注射和口服瓦尔甘西克洛维尔.
主要成果:
- 这位患者在甲植入后五周出现了扩散的单侧细胞巨乳病毒视网膜炎.
- 成功治疗导致12周的疾病回归.
- 视觉敏度和眼部检查在9个月的随访后保持稳定.
结论:
- 在移植患者的肠内类固醇植入后,细胞巨乳病毒视网膜炎可能发生.
- 及时诊断和联合内和全身抗病毒疗法是有效的.
- 在接受眼科手术的免疫受损患者中,对机会性感染保持警至关重要.
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