Acute multifocal retinitisの1例

A case of acute multifocal retinitis

（18-D-8）　47歳男子が10日前からの左眼視力低下で受診した。その1週前に高熱の発症があった。初診時の矯正視力は，右1.2，左0.1であった。右眼に乳頭浮腫と1個の網膜浸潤巣があり，左眼には4個の浸潤巣があって，その1個は中心窩に及んでいた。螢光造影で浸潤巣は初期に低螢光，後期に過螢光を呈した。急性多発性網膜炎と診断し，レボフロキサシン，フルコナゾール，プレドニゾロンの全身投与を行った。左眼矯正視力は4週後に1.0に回復した。眼底の浸潤巣は約6か月後にほぼ消失した。全身検査で原因は特定できなかった。

A 47-year-old male presented with acute loss of vision in his left eye of 10 days' duration. He had a high fever one week before onset of eye symptoms. His corrected visual acuity was 1.2 right and 0.1 left. By funduscopy, the right eye showed segmental disc swelling and an exudatve retinal lesion. The left eye showed four retinal lesions, one involving the fovea. Fluorescein angiography showed hypofluorescence in the early phase and dye leakage and staining of the retinal lesions. Treatment with systemic levofloxacin, fluconazole and prednisolone resulted in recovery of vision in the left eye one month later. The retinal lesions almost disappeared leaving slight atrophy of retinal pigment epithelium 6 months after initially seen by us. All laboratory data were within normal limits.