Retinal vasculitis in Toxocara canis neuroretinitis 英文参考文献.docVIP

BesirliandElnerJournalofOpthalmicInflammationandInfection2013,3:5 /content/3/1/5 BRIEF REPORT OpenAccess RetinalvasculitisinToxocaracanisneuroretinitis CagriGBesirli1andSusanGElner1,2* Abstract Background:Thepurposeofthiscasereportistodescribeclinicalandangiographicfindingsofretinalvasculitisin acuteToxocaracanisneuroretinitisassociatedwithsystemicinfection. Findings:A16-year-oldmalepresentedwitha1weekhistoryoflefteyepain,floaters,anddecreasedvisualacuity. Ocularexaminationwasconsistentwithneuroretinitisandretinalvasculitis.Fluoresceinangiographydemonstrated leakageoffluoresceinfromtheopticnerveandtheretinalveins.Clinicalandlaboratoryevaluationwereconsistent withsystemicToxocaracanisinfection. Conclusions:OcularT.canismaypresentwithretinalvasculitisinyoungpatientsinthesettingofacutesystemic infection. Keywords:Toxocaracanis,Neuroretinitis,Vasculitis,Fluoresceinangiography Findings Casereport Introduction A 16-year-old male presented with a 1 week history of Toxocara canis (T. canis) is a ubiquitous parasite found left eye pain, floaters, and decreased visual acuity. His worldwide. T. canis can only complete its lifecycle in review of symptoms was significant for headache, sore dogs, and humans are accidental hosts [1,2]. Ocular T. throat, and cough occurring 1 week prior to his visual canisistypicallyseeninchildrenwithanaverageageof symptoms.Hedidnothaveanyknownhistoryofanimal diagnosis of 7.5 years [2,3]. The majority of patients exposure and denied any recent direct contact with presentwithblurredvision,pain,photophobia,andfloa- dogs.Visualacuitywas20/20intherighteyeand4/200 ters. T. canis may demonstrate a localized disciform inthelefteye.Theophthalmicexaminationoftheright macular detachment, multifocal granulomas with inter- eyewasentirelynormal.Arelativeafferentpupillaryde- connectingtracks,peripheralretinaldetachment,papilli- fectwaspresentinthelefteye.Anteriorsegmentexam- tis, peripheral retinal mass, pars plana mass, vitritis, inations