脉络膜结核瘤治疗后矛盾性恶化1例

Paradoxical worsening after treatment of choroidal tuberculoma:a case report

1例主诉为右眼视力下降12 d的青年女性就诊眼科。患者右眼眼底后极部可见孤立性的占位性病变,伴有颅内及肺部结核病灶。诊断为脉络膜结核瘤,颅内结核瘤,浸润性肺结核。经过抗结核治疗后肺部病灶有所好转,但眼部及颅内却出现了病情的矛盾性恶化。联合激素治疗后最终病灶钙化吸收.

A young woman who complained of visual acuity decreased in the right eye for 12 days visited the Department of Ophthalmology.A solitary and occupancy lesion was seen in the posterior pole of the fundus of the patient′s right eye,accompanied by intracranial and pulmonary tuberculosis.The diagnosis was choroidal tuberculoma,intracranial tuberculoma,and invasive pulmonary tuberculosis.After anti-tuberculosis treatment,the lesions of lung were better,but the lesions in the right eye and brain were paradoxical worsening.Finally,the lesion was calcification and absorption after combined glucocorticoid therapy.