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本文报告1例患弥漫性弓形体性视网膜脉络膜炎的AIDS病患者,男,38岁。有静脉内药瘾史。持续高烧38～40℃。右眼视力丧失20天,角膜KP明显。前房细胞微量。玻璃体细胞3+,视网膜有融合性白色斑点,呈坏死性表现,并有少许散在的视网膜内出血。胸透所见,有胸膜渗出。血清硷性磷酸酯酶、乳酸脱氢酶、谷丙转氨酶和谷草转氨酶增加。血沉65mm/hr。作右眼诊断性玻璃体吸出2ml。细胞学检查见大量组织细胞呈双核或多核,表明有肉芽肿的炎性过程。弓形体效价为1:64,血清弓形体效价为1:256。为诊断目的摘除右眼,肉眼观察,玻璃体呈绿白色和后部脱离。视网膜呈灰白色,不透
This article reports a case of AIDS patients suffering from diffuse toxophoric retinitis chorioretinitis, male, 38 years old. A history of intravenous drug addiction. Continuous high fever 38 ~ 40 ℃. Right eye loss of vision 20 days, KP corneal obvious. Anterior chamber cells trace. Vitreous cells 3 +, retinal fusion white spots, showed necrotic performance, and a little scattered retinal hemorrhage. Thoracic see, pleural effusion. Serum alkaline phosphatase, lactate dehydrogenase, alanine aminotransferase and aspartate aminotransferase increased. ESR 65mm / hr. The right eye aspiration of diagnostic vitreous 2ml. Cytological examination showed a large number of tissue cells were binucleated or multinucleated, indicating the inflammatory process of granulomatous. Toxoplasmosis titer 1:64, Toxoplasma gondii titers of 1: 256. Removal of the right eye for diagnostic purposes, visual observation, the vitreous was greenish white and posterior detachment. Retina was gray, not transparent