Тема
:
Лечение глазной формы туберкулёза
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22.08.2017, 23:39
Dr.Vad
Модератор форума по гематологии
Регистрация: 16.01.2003
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А бывает и так:
Paradoxical Worsening of Tubercular Serpiginous-Like Choroiditis after Initiation of Antitubercular Therapy [
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]
А в другой публикации обьясняют почему такое бывает:
Regarding the
concomitant use of systemic corticosteroids
, it is well known that this association
is highly beneficial
in patients with evidence of latent TB infection since
corticosteroid treatment may help limit damage to ocular tissues caused from delayed type hypersensitivity
while ATT helps in reducing the number of recurrences.15 However, there have been previous reports of patients with TB infection and multifocal choroiditis in which
intraocular inflammation was controlled only with the use of ATT
as soon as the diagnosis was suspected.16 In this case, the patient was started on ATT alone since
we usually delay corticosteroid treatment for about 1 or 2 weeks after starting ATT to prevent from a possible a flare-up of systemic TB by activating a latent infection
.17 Since the patient showed good visual recovery and complete resolution of all retinal lesions after only 2 weeks of treatment, no corticosteroid therapy was added in this case. [
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]
__________________
Искренне,
Вадим Валерьевич.
Dr.Vad
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