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Case of retinochoroiditis associated with porcine ascarids diagnosed by antibodies in subretinal fluid
Purpose To determine the cause of retinochorioditis in a patient with a granulomatous retinal exudate and an exudative retinal detachment. Case A 45-year-old man presented at another hospital with increased visual disturbances of the left eye. He was diagnosed with uveitis, and treated with topical...
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Published in: | Graefe's archive for clinical and experimental ophthalmology 2008-07, Vol.246 (7), p.1065-1067 |
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creator | Matsuyama, Kayako Ogata, Nahoko Takahashi, Kanji Matsumura, Miyo Nishimura, Tetsuya |
description | Purpose
To determine the cause of retinochorioditis in a patient with a granulomatous retinal exudate and an exudative retinal detachment.
Case
A 45-year-old man presented at another hospital with increased visual disturbances of the left eye. He was diagnosed with uveitis, and treated with topical steroids for 1 month. However, the uveitis worsened, and he was referred to our hospital. Ophthalmoscopy showed a yellowish-white granulomatous exudate, and an exudative retinal detachment in the lower peripheral retina. The retinal detachment worsened and affected the macula. Pars plana vitrectomy was performed, and the retina was reattached. During the surgery, ocular samples were collected for further examinations. The titers of antibodies against 12 kinds of ascaridis were examined, and elevated titers of specific antibodies against porcine ascarids were detected in the subretinal fluid, but not in the aqueous humor, vitreous, or serum.
Conclusions
Vitrectomy with the collection of ocular samples, especially subretinal fluid, was a key procedure in the diagnosis and treatment of retinochoroiditis associated with the porcine ascarids. |
doi_str_mv | 10.1007/s00417-008-0790-y |
format | article |
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To determine the cause of retinochorioditis in a patient with a granulomatous retinal exudate and an exudative retinal detachment.
Case
A 45-year-old man presented at another hospital with increased visual disturbances of the left eye. He was diagnosed with uveitis, and treated with topical steroids for 1 month. However, the uveitis worsened, and he was referred to our hospital. Ophthalmoscopy showed a yellowish-white granulomatous exudate, and an exudative retinal detachment in the lower peripheral retina. The retinal detachment worsened and affected the macula. Pars plana vitrectomy was performed, and the retina was reattached. During the surgery, ocular samples were collected for further examinations. The titers of antibodies against 12 kinds of ascaridis were examined, and elevated titers of specific antibodies against porcine ascarids were detected in the subretinal fluid, but not in the aqueous humor, vitreous, or serum.
Conclusions
Vitrectomy with the collection of ocular samples, especially subretinal fluid, was a key procedure in the diagnosis and treatment of retinochoroiditis associated with the porcine ascarids.</description><identifier>ISSN: 0721-832X</identifier><identifier>EISSN: 1435-702X</identifier><identifier>DOI: 10.1007/s00417-008-0790-y</identifier><identifier>PMID: 18404274</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Albendazole - therapeutic use ; Animals ; Antibodies, Helminth - blood ; Antiprotozoal Agents - therapeutic use ; Ascaridia - immunology ; Ascaridia - isolation & purification ; Ascaridiasis - drug therapy ; Ascaridiasis - immunology ; Ascaridiasis - parasitology ; Body Fluids - immunology ; Case Report ; Chorioretinitis - drug therapy ; Chorioretinitis - immunology ; Chorioretinitis - parasitology ; Drug Therapy, Combination ; Enzyme-Linked Immunosorbent Assay ; Exudates and Transudates - immunology ; Eye Infections, Parasitic - drug therapy ; Eye Infections, Parasitic - immunology ; Eye Infections, Parasitic - parasitology ; Glucocorticoids - therapeutic use ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Ophthalmology ; Prednisolone - therapeutic use ; Swine</subject><ispartof>Graefe's archive for clinical and experimental ophthalmology, 2008-07, Vol.246 (7), p.1065-1067</ispartof><rights>Springer-Verlag 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c400t-38219978e714c42c21afc667ec389c2a5d6ce67861546bd5e7f164f253ae0a643</citedby><cites>FETCH-LOGICAL-c400t-38219978e714c42c21afc667ec389c2a5d6ce67861546bd5e7f164f253ae0a643</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18404274$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Matsuyama, Kayako</creatorcontrib><creatorcontrib>Ogata, Nahoko</creatorcontrib><creatorcontrib>Takahashi, Kanji</creatorcontrib><creatorcontrib>Matsumura, Miyo</creatorcontrib><creatorcontrib>Nishimura, Tetsuya</creatorcontrib><title>Case of retinochoroiditis associated with porcine ascarids diagnosed by antibodies in subretinal fluid</title><title>Graefe's archive for clinical and experimental ophthalmology</title><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><description>Purpose
To determine the cause of retinochorioditis in a patient with a granulomatous retinal exudate and an exudative retinal detachment.
Case
A 45-year-old man presented at another hospital with increased visual disturbances of the left eye. He was diagnosed with uveitis, and treated with topical steroids for 1 month. However, the uveitis worsened, and he was referred to our hospital. Ophthalmoscopy showed a yellowish-white granulomatous exudate, and an exudative retinal detachment in the lower peripheral retina. The retinal detachment worsened and affected the macula. Pars plana vitrectomy was performed, and the retina was reattached. During the surgery, ocular samples were collected for further examinations. The titers of antibodies against 12 kinds of ascaridis were examined, and elevated titers of specific antibodies against porcine ascarids were detected in the subretinal fluid, but not in the aqueous humor, vitreous, or serum.
Conclusions
Vitrectomy with the collection of ocular samples, especially subretinal fluid, was a key procedure in the diagnosis and treatment of retinochoroiditis associated with the porcine ascarids.</description><subject>Albendazole - therapeutic use</subject><subject>Animals</subject><subject>Antibodies, Helminth - blood</subject><subject>Antiprotozoal Agents - therapeutic use</subject><subject>Ascaridia - immunology</subject><subject>Ascaridia - isolation & purification</subject><subject>Ascaridiasis - drug therapy</subject><subject>Ascaridiasis - immunology</subject><subject>Ascaridiasis - parasitology</subject><subject>Body Fluids - immunology</subject><subject>Case Report</subject><subject>Chorioretinitis - drug therapy</subject><subject>Chorioretinitis - immunology</subject><subject>Chorioretinitis - parasitology</subject><subject>Drug Therapy, Combination</subject><subject>Enzyme-Linked Immunosorbent Assay</subject><subject>Exudates and Transudates - immunology</subject><subject>Eye Infections, Parasitic - drug therapy</subject><subject>Eye Infections, Parasitic - immunology</subject><subject>Eye Infections, Parasitic - parasitology</subject><subject>Glucocorticoids - therapeutic use</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Ophthalmology</subject><subject>Prednisolone - therapeutic use</subject><subject>Swine</subject><issn>0721-832X</issn><issn>1435-702X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><recordid>eNqFkU1r3DAQQEVIabZJf0AuReTQm5uRLFvyMSzpBwRySSE3IUvjRMFrbTU2Zf99lOxCIFB6EmjePCEeY-cCvgkAfUkASugKwFSgO6h2R2wlVN1UGuT9MVuBlqIytbw_YZ-InqDgdSM-shNhFCip1YoNa0fI08AzznFK_jHlFEOcI3FHlHx0Mwb-N86PfJuyjxOWe-9yDMRDdA9TojLvd9xNc-xTiEg8TpyW_lXoRj6MSwxn7MPgRsLPh_OU_f5-fbf-Wd3c_vi1vrqpvAKYq9pI0XXaoBbKK-mlcINvW42-Np2Xrgmtx1abVjSq7UODehCtGmRTOwTXqvqUfd17tzn9WZBmu4nkcRzdhGkhq0GbDgz8FxSdMqDBFPDiHfiUllw-RlbWxdYILQsk9pDPiSjjYLc5blzeWQH2JZXdp7IllX1JZXdl58tBvPQbDG8bhzYFkHuAymh6wPz28r-tz047n74</recordid><startdate>20080701</startdate><enddate>20080701</enddate><creator>Matsuyama, Kayako</creator><creator>Ogata, Nahoko</creator><creator>Takahashi, Kanji</creator><creator>Matsumura, Miyo</creator><creator>Nishimura, Tetsuya</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7T5</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>20080701</creationdate><title>Case of retinochoroiditis associated with porcine ascarids diagnosed by antibodies in subretinal fluid</title><author>Matsuyama, Kayako ; Ogata, Nahoko ; Takahashi, Kanji ; Matsumura, Miyo ; Nishimura, Tetsuya</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c400t-38219978e714c42c21afc667ec389c2a5d6ce67861546bd5e7f164f253ae0a643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Albendazole - therapeutic use</topic><topic>Animals</topic><topic>Antibodies, Helminth - blood</topic><topic>Antiprotozoal Agents - therapeutic use</topic><topic>Ascaridia - immunology</topic><topic>Ascaridia - isolation & purification</topic><topic>Ascaridiasis - drug therapy</topic><topic>Ascaridiasis - immunology</topic><topic>Ascaridiasis - parasitology</topic><topic>Body Fluids - immunology</topic><topic>Case Report</topic><topic>Chorioretinitis - drug therapy</topic><topic>Chorioretinitis - immunology</topic><topic>Chorioretinitis - parasitology</topic><topic>Drug Therapy, Combination</topic><topic>Enzyme-Linked Immunosorbent Assay</topic><topic>Exudates and Transudates - immunology</topic><topic>Eye Infections, Parasitic - drug therapy</topic><topic>Eye Infections, Parasitic - immunology</topic><topic>Eye Infections, Parasitic - parasitology</topic><topic>Glucocorticoids - therapeutic use</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Ophthalmology</topic><topic>Prednisolone - therapeutic use</topic><topic>Swine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Matsuyama, Kayako</creatorcontrib><creatorcontrib>Ogata, Nahoko</creatorcontrib><creatorcontrib>Takahashi, Kanji</creatorcontrib><creatorcontrib>Matsumura, Miyo</creatorcontrib><creatorcontrib>Nishimura, Tetsuya</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Complete (ProQuest Database)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Graefe's archive for clinical and experimental ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Matsuyama, Kayako</au><au>Ogata, Nahoko</au><au>Takahashi, Kanji</au><au>Matsumura, Miyo</au><au>Nishimura, Tetsuya</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Case of retinochoroiditis associated with porcine ascarids diagnosed by antibodies in subretinal fluid</atitle><jtitle>Graefe's archive for clinical and experimental ophthalmology</jtitle><stitle>Graefes Arch Clin Exp Ophthalmol</stitle><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><date>2008-07-01</date><risdate>2008</risdate><volume>246</volume><issue>7</issue><spage>1065</spage><epage>1067</epage><pages>1065-1067</pages><issn>0721-832X</issn><eissn>1435-702X</eissn><abstract>Purpose
To determine the cause of retinochorioditis in a patient with a granulomatous retinal exudate and an exudative retinal detachment.
Case
A 45-year-old man presented at another hospital with increased visual disturbances of the left eye. He was diagnosed with uveitis, and treated with topical steroids for 1 month. However, the uveitis worsened, and he was referred to our hospital. Ophthalmoscopy showed a yellowish-white granulomatous exudate, and an exudative retinal detachment in the lower peripheral retina. The retinal detachment worsened and affected the macula. Pars plana vitrectomy was performed, and the retina was reattached. During the surgery, ocular samples were collected for further examinations. The titers of antibodies against 12 kinds of ascaridis were examined, and elevated titers of specific antibodies against porcine ascarids were detected in the subretinal fluid, but not in the aqueous humor, vitreous, or serum.
Conclusions
Vitrectomy with the collection of ocular samples, especially subretinal fluid, was a key procedure in the diagnosis and treatment of retinochoroiditis associated with the porcine ascarids.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>18404274</pmid><doi>10.1007/s00417-008-0790-y</doi><tpages>3</tpages></addata></record> |
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subjects | Albendazole - therapeutic use Animals Antibodies, Helminth - blood Antiprotozoal Agents - therapeutic use Ascaridia - immunology Ascaridia - isolation & purification Ascaridiasis - drug therapy Ascaridiasis - immunology Ascaridiasis - parasitology Body Fluids - immunology Case Report Chorioretinitis - drug therapy Chorioretinitis - immunology Chorioretinitis - parasitology Drug Therapy, Combination Enzyme-Linked Immunosorbent Assay Exudates and Transudates - immunology Eye Infections, Parasitic - drug therapy Eye Infections, Parasitic - immunology Eye Infections, Parasitic - parasitology Glucocorticoids - therapeutic use Humans Male Medicine Medicine & Public Health Middle Aged Ophthalmology Prednisolone - therapeutic use Swine |
title | Case of retinochoroiditis associated with porcine ascarids diagnosed by antibodies in subretinal fluid |
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