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麻瘋性葡萄膜炎－在前房液中發現麻瘋桿菌之病例報告
Lepromatous Uveitis Diagnosed by Anterior Chamber Paracentesis-A Case Report
摘要
本篇報告一例麻瘋性葡萄膜炎的病例。患者為一58歲男性病人，27年前被診斷為麻瘋病，曾於樂生療養院住院治療兩年之久，最近已有一年多未服用抗麻瘋藥物。一個月前開始左眼發虹及異物感，檢查發現左眼視力減退，睫狀充血、角膜內皮側可見羊脂狀角膜沈澱、前房水內有發炎細胞3度及輝塵2度、虹膜後粘連、虹膜結節、輕度白內障。眼前房水穿刺檢查發現嗜酸性麻瘋桿菌存在，特提出報告。本文亦回顧以前文獻，提供參考。
關鍵字
無資料並列摘要
Ocular involvement in Hansen's disease (Leprosy) is common. Iridocyclitis is the principal cause of blindness in this disease. Organisms in lepromatous iridocyclitis have only rarely been detected by anterior chamber paracentesis. A 58-year-old Chinese male patient presented lepromatous iridocyclitis in his left eye, evidenced by numerous acid-fast organisms found by anterior chamber paracentesis. The iridocyclitis resolved after treatment with dapsone, corticosteroids and mydriatics.
延伸閱讀
- 謝碧祥、劉秀雯（1991）。急性前葡萄膜炎合併自發性前房出血－病例報告。中華民國眼科醫學會雜誌，30(2)，208-212。https://doi.org/10.30048/ACTASOS.199112.0079
- 楊惠茹、戴金英（2020）。探討外科加護病房患者抗Methicillin金黃色葡萄球菌移生盛行率與其相關因素。秀傳醫學雜誌，19(1)，38-52。https://doi.org/10.3966/156104972020061901004
- Lee, Y. L., Liu, Y. M., Chang, C. Y., Chang, S. C., Lin, L. C., Chiu, Y. C., Yeh, H. M., Cheng, C. Y., & Liu, C. E. (2013). 醫護人員金黃色葡萄球菌帶原調查及其和神經外科術後成傷口感染的關連性. 內科學誌, 24(2), 123-130. https://doi.org/10.6314/JIMT.2013.24(2).06
- 曾宣靜、朱大同、楊松昇、程維德、李政育、廖炎智、于大雄（2019）。中醫藥對急性、藥物性、結核性攝護腺炎的治療病例報告－膀胱內膜癌灌注卡介苗液誘發接觸性、急性、結核性攝護腺炎。中國鍼灸學雜誌，7(1)，126-130。https://doi.org/10.6528/CAMS.201912_7(1).0008
- Lin, C. H., Wang, C. Y., & Hwang, D. K. (2016). HYPOTONY AND ANTERIOR CHAMBER MIGRATION OF IMPLANT AS COMPLICATIONS OF INTRAVITREAL DEXAMETHASONE IMPLANTATION IN A UVEITIS PATIENT -- A CASE REPORT. 中華民國眼科醫學會雜誌, 55(), 88-92. https://www.airitilibrary.com/Article/Detail?DocID=10213120-201612-201701100009-201701100009-88-92