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患者女,59岁,因双眼视力下降于眼科就诊,眼底荧光造影提示双眼葡萄膜炎,行甲苯胺红不加热血清试验(TRUST)为1∶32(+),梅毒螺旋体颗粒凝集试验(TPPA)(+)。诊断:梅毒性葡萄膜炎。患者拒行脑脊液检查,予双侧球旁甲强龙20mg注射及苄星青霉素240万U两臀肌注,1次/周,共4次治疗。治疗结束后患者双眼视力明显好转,3个月后复查血TRUST 1∶16,半年后为1∶8,1年后TRUST转阴。
The female patient, age 59, was treated with ophthalmology because of binocular vision loss. Fundus fluorescein angiography revealed bilateral uveitis with TRUST of 1:32 (+), Treponema pallidum granulo agglutination test (TPPA) (+). Diagnosis: Syphilitic uveitis. Refuse patients with cerebrospinal fluid reflex, to the bilateral parsnals 20mg injection and penicillin 2,400 U two gluteal muscle injection, 1 / week, a total of 4 treatment. Binocular visual acuity was significantly improved after treatment, TRUST 1:16 after 3 months, 1: 8 after 6 months, and 1 year after TRUST turned negative.