[维普尔病中的双侧松膜炎:病例报告]
V Loiseau1, M-C Chopin2, P Antoine3
1Service d'ophtalmologie, hôpital Claude-Huriez, CHU de Lille, rue Michel-Polonowski, 59000 Lille, France.
Journal francais d'ophtalmologie
|August 4, 2024
概括
惠普尔病是一种罕见的细菌感染,可以表现为慢性脑膜炎. 早期诊断和用抗生素和类固醇治疗对于视力恢复至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 类风湿病学 类风湿病学
背景情况:
- 惠普尔病是一种罕见的慢性感染,由Tropheryma whipplei引起.
- 虽然它通常是全身性的,但它可以呈现出孤立的神经,心脏或眼科症状.
- 双边松膜炎是一种不常见的眼科表现.
研究的目的:
- 报告一种罕见的怀普尔病病例,呈现为双边肺膜炎.
- 详细介绍这种罕见表现的诊断工作和治疗.
- 突出考虑在不明原因的紫外线炎中考虑惠普尔病的重要性.
主要方法:
- 一个56岁的患者的病例报告,患有视力损失和面膜炎.
- 眼科检查,包括 fundus 摄影,OCT 和血管学.
- 通过Tropheryma whipplei PCR和唾液腺活检证实了诊断.
- 用皮质类固醇,氧化和多克西环素治疗.
主要成果:
- 这位患者出现了双边松膜炎,视炎,视盘,视网膜炎和血管炎.
- 通过PCR和活检证实了诊断.
- 眼部炎症和症状的完全消失是通过治疗实现的.
结论:
- 应考虑怀普尔病在慢性,类固醇耐药性脑膜炎的情况下,特别是有系统性症状.
- 眼睛表现可能是唯一的呈现标志.
- 及时诊断和治疗对于视觉预后至关重要.
相关概念视频
01:17Chronic Bowel Disorders: Introduction
436
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
436
01:29Chronic Pancreatitis II: Collaborative Care
79
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
79
01:24Chronic Pancreatitis I: Introduction
85
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
85