布鲁氏菌病患者眼部受累的研究进展  

Research progress of ocular involvement in patients with brucellosis

作　　者：王琳[1] 王艳[1] 袁剑伟 王宏霞[1] 任圆 Wang Lin;Wang Yan;Yuan Jianwei;Wang Hongxia;Ren Yuan(Department of Infection,Third Hospital of Shanxi Medical University,Shanxi Bethune Hospital,Shanxi Academy of Medical Sciences,Tongji Shanxi Hospital,Taiyuan 030032,China;School of Public Health,Shanxi Medical University,Taiyuan 030001,China)

机构地区：[1]山西医科大学第三医院(山西白求恩医院山西医学科学院同济山西医院)感染科,太原030032 [2]山西医科大学公共卫生学院,太原030001

出　　处：《中华地方病学杂志》2024年第10期856-860,共5页Chinese Journal of Endemiology

摘　　要：布鲁氏菌属是一组微小的革兰阴性菌,经多种传播途径感染人体后,可随血液至全身各器官组织,造成菌血症、毒血症和败血症及局部感染。布鲁氏菌病(简称布病)在发达国家较少见,在发展中国家较常见。尽管布病的典型症状很容易识别,但有些表现却并不为众人所知,如布病患者眼部受累。眼部炎症通常是一种晚期表现,布鲁氏菌可引发眼睛不同症状,导致误诊或漏诊,因此在进行鉴别诊断时须予以考虑。为进一步提高医疗工作者对布病患者眼部受累的认识,现将其发病机制、临床表现、辅助检查、诊断及治疗特点做一综述。Brucella are a group of small gram-negative bacteria that infect the human body through various transmission routes.They can travel with the blood to various organs and tissues throughout the body,causing bacteremia,toxemia,sepsis,and local infections.Brucellosis is relatively rare in developed countries and more common in developing countries.Although the typical symptoms of brucellosis are easy to identify,some manifestations are not well-known,such as eye involvement in brucellosis patients.Eye inflammation is usually a late manifestation,and Brucella can cause different symptoms in the eyes,leading to misdiagnosis or missed diagnosis.Therefore,it should be considered in differential diagnosis.To further enhance the understanding of eye involvement in patients with brucellosis among healthcare workers,this article provides a review of its pathogenesis,clinical manifestations,auxiliary examinations,diagnosis,and treatment characteristics.

关 键 词：布鲁氏菌病 眼疾病 发病机制 临床表现 研究进展 

分 类 号：R516.7[医药卫生—内科学] R77[医药卫生—临床医学]