{"title":"免疫功能低下患者继发于肺囊虫肺炎的purtscher样视网膜病变1例报告。","authors":"Alastair David Bezzina, Isaac Bertuello","doi":"10.1155/2022/7870179","DOIUrl":null,"url":null,"abstract":"<p><p>To the best of our knowledge, we present the first case of a young adult male, on long-term immunosuppressive therapy following a live-donor kidney transplant, with Purtscher-like retinopathy (PLR) secondary to <i>Pneumocystis jirovecii</i> pneumonia (PCP). The patient had presented to a routine medical follow-up and complained of a few weeks' history of dyspnoea and tachycardia after minimal exertion followed by acute bilateral blurring of vision. Unfortunately, the patient did not respond to a trial of corticosteroid treatment and subsequently became severely visually impaired. This case report expands the aetiological spectrum behind PLR and helps portray the disease process which, in some cases, leads to severe ischaemic sequelae.</p>","PeriodicalId":9603,"journal":{"name":"Case Reports in Ophthalmological Medicine","volume":"2022 ","pages":"7870179"},"PeriodicalIF":0.7000,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9792245/pdf/","citationCount":"0","resultStr":"{\"title\":\"A Case Report of Purtscher-Like Retinopathy Secondary to <i>Pneumocystis jirovecii</i> Pneumonia in an Immunocompromised Patient.\",\"authors\":\"Alastair David Bezzina, Isaac Bertuello\",\"doi\":\"10.1155/2022/7870179\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>To the best of our knowledge, we present the first case of a young adult male, on long-term immunosuppressive therapy following a live-donor kidney transplant, with Purtscher-like retinopathy (PLR) secondary to <i>Pneumocystis jirovecii</i> pneumonia (PCP). The patient had presented to a routine medical follow-up and complained of a few weeks' history of dyspnoea and tachycardia after minimal exertion followed by acute bilateral blurring of vision. Unfortunately, the patient did not respond to a trial of corticosteroid treatment and subsequently became severely visually impaired. This case report expands the aetiological spectrum behind PLR and helps portray the disease process which, in some cases, leads to severe ischaemic sequelae.</p>\",\"PeriodicalId\":9603,\"journal\":{\"name\":\"Case Reports in Ophthalmological Medicine\",\"volume\":\"2022 \",\"pages\":\"7870179\"},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2022-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9792245/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Case Reports in Ophthalmological Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1155/2022/7870179\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"OPHTHALMOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Case Reports in Ophthalmological Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1155/2022/7870179","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
A Case Report of Purtscher-Like Retinopathy Secondary to Pneumocystis jirovecii Pneumonia in an Immunocompromised Patient.
To the best of our knowledge, we present the first case of a young adult male, on long-term immunosuppressive therapy following a live-donor kidney transplant, with Purtscher-like retinopathy (PLR) secondary to Pneumocystis jirovecii pneumonia (PCP). The patient had presented to a routine medical follow-up and complained of a few weeks' history of dyspnoea and tachycardia after minimal exertion followed by acute bilateral blurring of vision. Unfortunately, the patient did not respond to a trial of corticosteroid treatment and subsequently became severely visually impaired. This case report expands the aetiological spectrum behind PLR and helps portray the disease process which, in some cases, leads to severe ischaemic sequelae.