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与JC病毒相关的视网膜病变
Fanny Varenne1, Aurore Siegfried-Vergnon2, Sébastien Lhomme3,4,5
1Department of Ophthalmology, Toulouse University Hospital, Toulouse, France.
JAMA ophthalmology
|July 17, 2025
概括
冠状病毒多重瘤病毒 (JCPyV) 可以在免疫功能低下的个体中引起一种罕见的视网膜病变. 这一案例突出了JCPyV视网膜病变作为一种新奇的表现,强调了对无法解释的视网膜病变进行测试的必要性.
科学领域:
- 眼科医生 眼科 眼科
- 病毒学 病毒学
- 免疫学 免疫学 免疫学
背景情况:
- 在免疫功能低下的个体中,JC多瘤病毒 (JCPyV) 的重新激活通常会导致渐进的多焦点白内障.
- JCPyV的眼部表现很少见,记录的病例有限.
研究的目的:
- 报告一个与多重瘤病毒相关的视网膜病变病例,这可能是JCPyV感染的新鲜表现.
- 描述一个患有常见变性免疫缺陷 (CVID) 和由于JCPyV. 引起的单边视网膜病变的患者.
主要方法:
- 一个在转诊中心管理的患者的病例报告.
- 诊断程序包括PCR前腔体检测和枪元基因组测序,以及视网膜活检.
- 治疗干预包括对cidofovir进行内注射.
主要成果:
- 一名52岁的男性患有CVID,呈现出单边渐进性视网膜病变.
- 在前腔室液体中通过PCR和测序确定了JCPyVDNA.
- 视网膜活检证实了JCPyV在视网膜质细胞中的感染.
- 奇多福维尔治疗导致了暂时的JCPyVDNA负面影响,但引起了不良事件.
结论:
- 这个病例扩大了已知的JCPyV感染的临床谱.
- 视网膜病变可能是JCPyV在免疫受损患者中被低估的并发症.
- 考虑在免疫功能低下,有不明原因视网膜病变的患者中进行JCPyV测试.
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