关键词: Leptospirosis nummular keratitis ocular leptospirosis posterior uveitis retinochoroiditis

来  源:   DOI:10.1080/09273948.2024.2367651

Abstract:
UNASSIGNED: To report a challenging case of serologically confirmed posterior uveitis due to leptospirosis.
UNASSIGNED: Review of medical records.
UNASSIGNED: Thirteen-year-old boy presented focal necrotizing retinochoroiditis after flood exposure. Laboratory work-up confirmed leptospirosis infection and proper antibiotic treatment was done. The patient evolved well. but during late follow-up he developed nummular keratitis.
UNASSIGNED: Leptospirosis is a possible etiology of necrotizing posterior uveitis. The use of antimicrobial therapy is controversial but was used in this case, in association with corticosteroids, leading to resolution of retinal inflammation. Despite treatment, the patient developed late corneal opacities, which did not lead to visual impairment.
摘要:
报告一例由于钩端螺旋体病经血清学证实的后葡萄膜炎。
查看病历。
13岁男孩在洪水暴露后出现局灶性坏死性视网膜脉络炎。实验室检查证实钩端螺旋体病感染,并进行了适当的抗生素治疗。病人进化得很好。但在后期随访期间,他出现了红斑性角膜炎。
钩端螺旋体病是坏死性后葡萄膜炎的一种可能病因。抗菌治疗的使用是有争议的,但在这种情况下使用,与皮质类固醇有关,导致视网膜炎症的解决。尽管治疗,患者出现晚期角膜混浊,这并没有导致视力障碍。
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