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復發性眼部弓蟲症－病例報告
Recurrent Ocular Toxoplasmosis-Cases Report
摘要
本文報告三例急性眼部弓蟲症之病例。一例為復發性，病人為45歲健康男性，因長期使用全身性類固醇治療致症狀一再復發。眼底可見典型弓蟲靜止病灶及其旁的活動性病灶，血清中抗弓蟲抗體IgG效價為陽性。我們停用全身性類固醇並使用Trimethoprim-Sulfam-ethoxazole及Clindamycin後成功地治癒。另外兩例則為眼部弓蟲症之疑似病例，因活性病灶快侵犯到黃斑部而須合併使用口服類固醇及上述藥物，亦獲得良好的結果。本文同時對目前眼弓蟲症之治療藥物及全身性類固醇之使用方式提出討論。
關鍵字
無資料並列摘要
We reported three cases of acute ocular toxoplasmosis. The first case is a 45 years old healthy male suffered from recurrent attack of ocular toxoplasmosis, and long term systemic corticosteroid usage was also noted. Typical silent ocular toxoplasmosis lesions and an active lesion were found in his left eyeground. Serum anti-toxoplasma IgG titer was positive. We used Trimethoprim-Sulfamethoxazole and Clindamycin, but stopped systemic corticosteroid and cured the lesion successfully. The other two cases were presumed ocular toxoplasmosis. The active lesions were threathening the macula and the combimation therapy with Trimethoprim-Sulfamethoxazole, Clindamycin and systemic corticosteroid were used to treat the lesions. The anti-toxoplasma drugs used currently and the usage of systemic corticosteroids in the treatment of ocular toxoplasmosis were also discussed.
延伸閱讀
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