广州管圆线虫导致的坏死性视网膜炎  

Necrotizing retinitis induced by Angiostrongylus cantonensis

作　　者：Liu L. -H. Chung Y. -M. Chen S. -J. Cho W. -L. 王永强(译) 

机构地区：[1]不详 [2]Department of Ophthalmology, National Yang-Ming University, Taipei Veterans General Hospital, No 201, Shih-Pai Road, 112, Taipei, Taiwan, China

出　　处：《世界核心医学期刊文摘（眼科学分册）》2006年第6期14-14,共1页Digest of the World Core Medical Journals:Ophthalmology

摘　　要：PURPOSE: To describe a case of bilateral necrotizing retinitis induced by Angiostrongylus cantonensis. DESIGN: Interventional case report. METHODS: A 52-year-old Asian woman developed eosinophilic meningitis after eating several undercooked snails. One week later,sudden onset of vision loss was noted in both eyes. Widespread yellow retinal exudates were accompanied by bullous retinal detachment in both eyes. RESULTS: Angiostrongylus cantonensis infection was con-firmed by positive enzyme-linked immunosorbent assay of the serum and cerebrospinal fluid,and a positive Western blot test of the subretinal fluid. After treatment with mebendazole,levamisole,and corticosteroid,these necrotizing patches regressed gradually. However,the final visual acuity was no light perception. CONCLUSIONS: Angiostrongylus cantonensis infection should be considered as one of the causes of necrotizing retinitis.PURPOSE： To describe a case of bilateral necrotizing retinitis induced by Angiostrongylus cantonensis. DESIGN： Interventional case report. METHODS： A 52- year-old Asian woman developed eosinophilic meningitis after eating several undercooked snails. One week later, sudden onset of vision loss was noted in both eyes. Widespread yellow retinal exudates were accompanied by bullous retinal detachment in both eyes. RESULTS： Angiostrongylus cantonensis infection was con-firmed by positive enzyme-linked immunosorbent assay of the serum and cerebrospinal fluid, and a positive Western blot test of the subretinal fluid. After treatment with mebendazole, levamisole, and corticosteroid, these necrotizing patches regressed gradually. However, the final visual acuity was no light perception. CONCLUSIONS： Angiostrongylus cantonensis infection should be considered as one of the causes of necrotizing retinitis.

关 键 词：广州管圆线虫感染 视网膜炎 坏死性 大泡性视网膜脱离 Western 嗜酸性脑膜炎 酶联免疫吸附 蛋白印迹试验 皮质激素治疗 病例报道 

分 类 号：R532.1[医药卫生—内科学]