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NR 7-9/2008
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Zmiany w narządzie
wzroku w przebiegu zakażenia prątkiem gruźlicy – obserwacje
własne
Ocular changes in course of
Mycobacterium tuberculosis infection – own observations
Beata Kępa, Mirosława Grałek, Krystyna
Kanigowska, Barbara Chipczyńska
Z Kliniki Okulistyki Instytutu „Pomnik – Centrum Zdrowia
Dziecka” w Warszawie
Kierownik: prof. dr hab. n. med. Mirosława Grałek |
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| Summary: |
Ocular tuberculosis occurs
rarely and causes many diagnostic difficulties. The aim
of this paper is to provide an analysis of diagnostic
problems of ocular changes as a consequence of
Mycobacterium tuberculosis infection in children.
Between 2006 and 2007 there were 7 children at the age 8
to 16 years old, treated in Ophthalmic Department. The
infection or contact with Mycobacterium tuberculosis was
diagnosed through the range of examination. Diagnosis of
tuberculosis included chest radiography, computed
tomography of lungs, tuberculin skin test and
bronchoscopy. Gastric and bronchial aspirates were used
for bacterial and genetic investigations. In eyes with
ocular tuberculosis there were various intraocular
changes. The most common clinical presentation occurred
by intermediate uveitis, posterior uveitis and optic
neuritis. 5 children were treated with antituberculous
drugs, 2 children were observed without treatment.
Examination and treatment of ocular tuberculosis
required cooperation with specialists of pulmonary
diseases. |
| Słowa kluczowe: |
zapalenie błony
naczyniowej, zapalenie nerwu wzrokowego, gruźlica,
rozpoznanie, dzieci. |
| Key words: |
uveitis, neuritis,
tuberculosis, diagnosis, children. |
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