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肺炎支原体感染患儿高血栓形成倾向以及检

来源:肺炎治疗介绍 时间:2019-1-16

据报道,肺炎支原体感染可能导致视网膜中动脉、脑、肺、深静脉等部位的血栓形成。

肺炎支原体可能导致视网膜中央动脉阻塞。

An8-year-oldboywithseverepneumoniarelatedtoMycoplasmapneumoniainfectionthatdevelopedlossofvisioninthelefteyeonthe14thday.Nolightperceptionandnopupillaryreactiontolightwerefoundinthelefteye.Thefundusexaminationrevealedacherryredspotwithsevereretinaledemaatthemacularandperipapillaryarea,andtheopticdiscwaspaleinthelefteyebutnormalintherighteye,suggestingCRAOinthelefteye.Noobviousneurologicalsymptomsandsignswereobservedonpresentation.Magneticresonanceimagingofthebrainshowedanabnormalsignaloftheleftlentiformnucleus,caudatenucleusandwithinthetemporallobe,suggestinganacutecerebralinfarction.Theanalysisofcerebrospinalfluidshowedanincreasingleukocytecount,butnoanypathogenicmicroorganismswerefound.Hisrespiratorysymptomsdisappearedpromptlyaftertherapy,andthepatientwasdischargedafter11dayslater,buttherewasnolightinthelefteye2monthsafterdischarge.

Conclusion:M.pneumoniaeinfectioncouldbedevelopedtheriskforcerebralischemicstroke,includingCRAOinchildrenwithseverepneumonia.CRAOisadevastatingophthalmologiceventleadingtoasevereimpairmentofvision.Patientstreatedwithinabout6hofvisionlosshadabettervisualout







































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