HIV眼部巨细胞病毒性视网膜炎合并脉络膜结核瘤感染1例  

A case of HIV cytomegalovirus retinitis complicated with choroidal tuberculoma infection

作　　者：叶红莉 焦康为 晏平静 赵洁[1] 冯萧萧 熊帅 肖丽波 YE Hongli;JIAO Kangwei;YAN Pingjing;ZHAO Jie;FENG Xiaoxiao;XIONG Shuai;XIAO Libo(Department of Ophthalmology,Yunnan University Affiliated Hospital,Kunming 650000,China)

机构地区：[1]云南大学附属医院眼科,昆明650000

出　　处：《眼科学报》2022年第7期603-608,共6页Eye Science

基　　金：云南省眼部临床医学中心开放课题(YJZX-05);云南省高层次人才培养计划万人计划青年拔尖人才计划(YNWR-QNBJ-2020-267)。

摘　　要：报道1例人类免疫缺陷病毒(human immunodeficiency virus,HIV)眼部巨细胞病毒性视网膜炎(cytomegalovirus retinitis,CMVR)合并脉络膜结核瘤感染患者,主因双眼视物模糊2周就诊。经眼部检查发现右眼底颞侧视网膜广泛黄白色颗粒样病变,病灶边界可见黄白色奶酪样渗出,左眼下方视网膜大片黄白色渗出伴出血。在随访半年后发现左眼视网膜脉络膜隆起病灶,根据其全身及眼部临床特征,诊断为双眼CMVR伴左眼脉络膜结核瘤,予全身抗病毒及结核治疗后随访1年余,全身情况及眼部病灶稳定。A case of human immunodeficiency virus(HIV)cytomegalovirus retinitis(CMVR)complicated with choroidal tuberculoma infection was reported.The patient visited hospital due to bilateral blurred vision for 2 weeks.Ocular examination showed extensive yellowish-white granular lesions in the temporal retina of the right fundus,with yellowish-white cheese-like exudation at the border of the lesion,and a large yellowish-white exudation with hemorrhage at the lower part of the left eye’s retina.After six months of follow-up,the patient was found to have a retinal choroid hump in the left eye.Based on her systemic and ocular clinical features,the patient was diagnosed as bilateral CMVR with choroidal tuberculoma of the left eye.The patient had her follow up check-up a year after her systemic antiviral and anti-tuberculosis treatment with her general condition stable and ocular lesions treated.

关 键 词：脉络膜结核瘤 巨细胞病毒性视网膜炎 艾滋病 机会性感染 病例报告 

分 类 号：R512.91[医药卫生—内科学] R774.11[医药卫生—临床医学] R529.8