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Mycobacterium Avium Infection of the Eye of an AIDS Patient - Case Report

後天免疫缺乏症候群患者眼球感染禽結合分枝桿菌-病例報告

摘要


眼睛的損害在後天免疫缺乏症候群(AIDS)患者是常見的。因感染引起的眼病變最常見的病原是巨細胞病毒。至於禽結合分枝桿菌在後天免疫缺乏症候群患者眼中的有現,在文獻中的報導皆是從屍體解剖中分離出來,只有一例在活著的後天免疫缺乏症候群患者眼中被培養出來。我們提出一位首先以左側視力模糊進而失明,因發燒及寒顫而轉入本院的廿九歲男性病患,入院後診斷為後天免疫缺乏症候群合併左眼球感染。其左眼球穿刺液以核酸聚合酵鎖反應方式分離出禽結合刀枝桿菌。這是第二個活體眼中分離出禽結合分枝桿菌並且以眼部病症為其首要症狀的病例。

並列摘要


We described a case of a 29 year-old heterosexual man with a history of blurry vision in the left eye followed by complete blindness, who was referred to our hospital because of prolonged fever and chills. The patient was diagnosed with AIDS and an analysis of paracentesis fluid from the left eye by polymerase chain reaction (PCR) revealed Mycobacteria avium (M. avium) infection. There have been many reports of ocular infection of M. avium found on autopsy in AIDS patients, but only one case has been reported in the eye of a living AIDS patient. This paper will be the second antemortem case of M. avium infection in the eye of an AIDS patient, in which the eye manifestation was the first symptom for AIDS.

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