[小肠结肠炎耶尔森菌感染后的双侧绒毛膜视网膜炎]。

R Osusky, H L Kain
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引用次数: 0

摘要

我们报告一例严重的双侧全葡萄膜炎伴播散性脉络膜视网膜炎。通过全身类固醇治疗,炎症在4周内消退,导致绒毛膜视网膜瘢痕形成。由于3型小肠结肠炎耶尔森氏菌的凝集滴度比正常水平提高了6倍,我们认为耶尔森氏菌是引起全葡萄膜炎的最可能原因。同时,血清学显示最近感染腮腺炎和志贺氏菌的证据。两者都可引起前葡萄膜炎。因此,我们不能排除可能影响临床表现的相互作用。在回顾文献后,我们首次描述了一例与耶尔森菌感染相关的绒毛膜视网膜炎和全葡萄膜炎。
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[Bilateral chorioretinitis after infection with Yersinia enterocolitica].

We report a case of severe, bilateral panuveitis with disseminated chorioretinis. With systemic steroid therapy the inflammation resolved within 4 weeks, resulting in chorioretinal scarring. Because the agglutination titer against Yersinia enterocolitica type 3 was increased to 6 times over normal, we consider Yersinia to be the most probable cause of the panuveitis. Concomitantly, serology revealed evidence for recent infection with mumps and shigella. Both can cause anterior uveitis. Therefore, we cannot exclude interactions, which may influence the clinical picture. After reviewing the literature we describe for the first time a case of chorioretinits and panuveitis associated with infection by Yersinia.

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