Ocular histoplasmosis-like syndrome: a report from a nonendemic area
Arq. bras. oftalmol
; Arq. bras. oftalmol;70(4): 577-580, jul.-ago. 2007. ilus
Article
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| ID: lil-461942
Biblioteca responsable:
BR1.1
ABSTRACT
PURPOSE:
To report some cases of ocular histoplasmosis-like syndrome from a nonendemica area.DESIGN:
Observational case series.METHODS:
This is a prospective study of 16 eyes from 8 immunocompetent patients evaluated between January 2001 to September 2005. Six patients were female and 2 male aged between 20 to 44 years, average 28 years. All patients presented clinical features that resembled ocular histoplasmosis. All patients had a negative antibody test for histoplasmosis and negative medical and laboratory evaluation of toxoplasmosis, syphilis, and tuberculosis. All patients were submitted to a complete ocular examination including fluorescein angiography. One patient was submitted to indocyanine green angiography.RESULTS:
Five patients presented the classical triad of clinical features that include peripapillary scarring, histo spots, choroidal neovascularization, one patient presentd enlargement of atrophic chorioretina scar, one patient presented multiple retinal pigment epithelial detachment, one, neovascularized retinal pigment epithelial detachment. Another patient presented only histo spots.CONCLUSION:
These findings of ocular histoplasmosis-like syndrome in patients with negative antibody serum test from a nonendemica area suggest that other agents could cause these similar fundus findings of ocular histoplasmosis.RESUMO
OBJETIVO:
Descrevemos os achados clínicos oftalmológicos de 16 olhos de 8 pacientes imunocompetentes que apresentavam características fundoscópicas da síndrome de histoplasmose ocular.MÉTODOS:
Os pacientes foram submetidos aos exames oculares de rotina e ainda à fluoresceinografia e à indocianinografia, além de exames laboratoriais para histoplasmome, toxoplasmose, sífilis, síndrome de insuficiência imunológica adquirida, tuberculose.RESULTADOS:
Os exames fundoscópicos, fluoresceinográficos e indocianinográficos demonstraram múltiplas coroidites em saca-bocado, atrofia peripapilar e neovascularização de coróide. Os exames laboratoriais foram considerados normais.CONCLUSÃO:
Uma outra etiologia que não a histoplasmose pode ser considerada para os achados encontrados. Uma micobactéria atípica ou o Mycobacterium avium que causam lesões semelhantes às descritas nos exames oculares podem ser consideradas.Palabras clave
Angiofluoresceinografia; Choroidal neovascularization; Choroiditis; Coroidite; Estudos observacionais; Eye infections; Fluorescein angiography; Fundo de olho; Fundus oculi; Fungal; Histoplasma; Histoplasma; Histoplasmose; Histoplasmosis; Infecções oculares fungicas; Isolamento; Isolatin; Neovascularização coroidal; Observational studies; Purification; Purificação
Texto completo:
1
Colección:
01-internacional
Base de datos:
LILACS
Asunto principal:
Infecciones Fúngicas del Ojo
/
Histoplasmosis
Tipo de estudio:
Observational_studies
Límite:
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Arq Bras Oftalmol
/
Arq. bras. oftalmol
/
Arq. bras. oftalmol. (Online)
/
Arquivos brasileiros de oftalmologia (Impresso)
Asunto de la revista:
OFTALMOLOGIA
Año:
2007
Tipo del documento:
Article
País de afiliación:
Brasil
Pais de publicación:
Brasil