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BMJ Case Rep:双侧单纯疱疹性角膜炎-哺乳期是复发的诱因!

2019-05-17 不详 网络

印度新德里医学科学院眼科学中心的Agarwal R和Maharana PK等人在BMJ Case Rep杂志上发表了一篇病例报告,研究者对哺乳期的双侧单纯疱疹性角膜炎患者进行诊断和治疗。

印度新德里医学科学院眼科学中心的Agarwal R和Maharana PK等人在BMJ Case Rep杂志上发表了一篇病例报告,研究者对哺乳期的双侧单纯疱疹性角膜炎患者进行诊断和治疗。

一名年轻的哺乳期妇女向研究者求医,发现其存在双侧角膜病变,临床诊断为单纯疱疹性角膜炎。经过PCR诊断,确诊是单纯疱疹病毒(HSV)。

研究者给予患者局部和全身阿昔洛韦治疗,并在右眼进行穿透性角膜移植手术。医生建议她在严格的卫生条件下继续母乳喂养。对于临床医生和患者来说,对哺乳期患者进行HSV角膜炎的诊断和治疗都是特别具有挑战性的。医生采用多学科方法确保母亲和儿童的安全。

3个月后随访,发现婴儿在临床诊断方面是健康的,同时,在母亲或婴儿中没有发现阿昔洛韦治疗的副作用,患者没有任何一只眼睛出现复发的迹象。

原文出处:

Agarwal, R., et al., Bilateral herpes simplex keratitis: lactation a trigger for recurrence! BMJ Case Rep, 2019. 12(3).

本文系梅斯医学(MedSci)原创编译整理,转载需授权!

 

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    2019-06-13 gaoxiaoe
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    2019-05-20 charl1234567
  4. 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  5. 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replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70548, encryptionId=c026e05485f, topicName=疱疹)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2dcf16628144, createdName=ms2694732865965676, createdTime=Sun May 19 11:36:00 CST 2019, time=2019-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1624927, encodeId=36b4162492e52, content=<a href='/topic/show?id=0333412062' target=_blank style='color:#2F92EE;'>#Cas#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4120, encryptionId=0333412062, topicName=Cas)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=411420689333, createdName=yaanren, createdTime=Sun May 19 11:36:00 CST 2019, time=2019-05-19, status=1, ipAttribution=)]
  6. 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  7. 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content=<a href='/topic/show?id=0e0590964e3' target=_blank style='color:#2F92EE;'>#角膜炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=90964, encryptionId=0e0590964e3, topicName=角膜炎)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83eq2AGzrugK9ZUjU3eJxzM901ophWib0xJDrSicy49ibWl3zB5pbDto7eoR6tnzwOiaKdbq1a8PcbYFFrw/132, createdBy=6ff22500098, createdName=ms4964546379600229, createdTime=Sun May 19 11:36:00 CST 2019, time=2019-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1514022, encodeId=534d151402210, content=<a href='/topic/show?id=845339961b7' target=_blank style='color:#2F92EE;'>#哺乳#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39961, encryptionId=845339961b7, topicName=哺乳)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c8fd10610597, createdName=ms1065684921169360, createdTime=Sun May 19 11:36:00 CST 2019, time=2019-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1522432, encodeId=2b0915224321b, content=<a href='/topic/show?id=46223e39897' target=_blank style='color:#2F92EE;'>#双侧#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=37398, encryptionId=46223e39897, topicName=双侧)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=741b11453403, createdName=wangbingxhy, createdTime=Sun May 19 11:36:00 CST 2019, time=2019-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1580427, encodeId=cfe1158042e25, content=<a href='/topic/show?id=c026e05485f' target=_blank style='color:#2F92EE;'>#疱疹#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70548, encryptionId=c026e05485f, topicName=疱疹)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2dcf16628144, createdName=ms2694732865965676, createdTime=Sun May 19 11:36:00 CST 2019, time=2019-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1624927, encodeId=36b4162492e52, content=<a href='/topic/show?id=0333412062' target=_blank style='color:#2F92EE;'>#Cas#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4120, encryptionId=0333412062, topicName=Cas)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=411420689333, createdName=yaanren, createdTime=Sun May 19 11:36:00 CST 2019, time=2019-05-19, status=1, ipAttribution=)]
    2019-05-19 yaanren
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