简介:目的:报道1例罕见的临床上表现为眼眶炎性假瘤形式的视神经束膜炎,并且强调区分视神经束膜炎和脱髓鞘的球后视神经炎。方法:病例报道。结果:一个54岁的健康的马来西亚女性,主诉右侧持续性头痛3d伴有复视。疼痛与眼球活动相关联。脑部和眼眶MRI显示右侧视神经鞘和眶内脂肪条纹异常增强,未有异常的增强提示脱髓鞘疾病。这名患者诊断为右眼视神经束膜炎。从开始使用全身性的类固醇激素,维持并逐渐减量超过6mo。她的症状得到缓解并且直到最近的随访都没有复发。结论:所有的眼眶炎性假瘤病例都应该考虑存在视神经束膜炎的可能,在开始治疗前必须与球后视神经炎相鉴别。因为这两种疾病有不同的治疗原则和预后。
简介:<正>DearSir,IamDr.Sheng-LiMi,fromtheBiomanufacturingengineeringlaboratory,GraduateSchoolatShenzhen,TsinghuaUniversity,Shenzhen,China.Iwritetopresentacasereportofnocardiabrasiliensisinapatientwithdiabetes.Nocardiaispartofagroupofaerobicactinomycetes,widelydistributedinsoil.Nocardiaasteroidsandnocardiabrasiliensisarethemostcommonhumanpathogens.Humansinfectedbynocardiaasteroidsthroughtherespiratorytractmainlysufferfromprimarysuppurativepulmonaryconditions.Infectionofnocardiabrasiliensisoftenoccursintheadvancedstagesofaprogressivediseaseorimmunedisorder,especiallyCushingsyndrome,diabetes,orinpatientsusingcorticosteroids,immunosuppressiveagentsandbroad-spectrumantibioticsforlongtime[1].Toourknowledge,thereportsofnocardiakeratitiswasveryrare