Zusammenfassung
Eine infektiöse Uveitis durch Borrelien, Tuberkulose oder Lues ist, insbesondere im
Kindesalter, eine seltene Erkankung. Da diese Formen der Uveitis sich gut kausal behandeln
lassen, ist die Kenntnis einer adäquaten Diagnostik und Therapie umso wichtiger. Das
Erscheinungsbild am Auge ist vielfältig und reicht von der einfachen Konjunktivitis
bis zur Endophthalmitis oder zu neuroophthalmologischen Krankheitsbildern. Die Diagnostik
und Therapie der Borreliose ist abhängig vom Stadium der Erkrankung. Die Diagnose
der Tuberkulose stützt sich auf den Nachweis weiterer Organbeteiligungen oder positive
indirekte Testverfahren (Tuberkulin-Hauttest, Interferon-gamma-Assays). Durch die
Serologie kann die Diagnose der Lues gesichert und der Erfolg der Therapie kontrolliert
werden.
Abstract
Infectious uveitis caused by Borrelia, tuberculosis or syphilis is a rare condition,
even in childhood. Because these diseases can be treated successfully, knowledge of
their diagnosis and therapy is highly important. The clinical aspects vary from simple
conjunctivitis to endophthalmitis or neuro-ophthalmological diseases. The diagnosis
of and therapy for borreliosis depend on the stage of the disease. The involvement
of different organ systems or positive indirect tests (tuberculin skin test, interferon
gamma assays) are important factors in the diagnosis of tuberculosis as the cause
of a uveitis. Serology is essential for the diagnosis and monitoring of syphilis.
Schlüsselwörter
Borreliose - Kinder - Lues - Tuberkulose - Uveitis
Key words
borreliosis - children - syphilis - tuberculosis - uveitis
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Dr. Thomas Neß
Universitäts-Augenklinik Freiburg
Killianstraße 5
79106 Freiburg
Phone: ++49/7 61/2 70 40 53
Email: thomas.ness@uniklinik-freiburg.de
