粘质沙雷氏菌局部感染模拟结膜肿瘤
Localized infection by Serratia marcescens simulating a conjunctival neoplasm.
作者信息
Shields J A, Shields C L, Eagle R C, Moster M
机构信息
Oncology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
出版信息
Am J Ophthalmol. 2000 Feb;129(2):247-8. doi: 10.1016/s0002-9394(99)00422-5.
PURPOSE
To report a Serratia marcescens infection that clinically simulated a conjunctival neoplasm.
METHOD
Case report.
RESULTS
A healthy 80-year-old man without contact lenses presented with a pink-yellow conjunctival mass that resembled a solid neoplasm. Stains and cultures of material that exuded from the mass during surgery revealed S. marcescens. Histopathology disclosed an epithelial-lined cyst with macrophages containing S. marcescens.
CONCLUSION
Although S. marcescens usually affects the eye as a keratoconjunctivitis in patients with contact lenses, it can also present as a mass simulating a neoplasm in a patient who does not wear contact lenses.
目的
报告一例临床上疑似结膜肿瘤的粘质沙雷菌感染病例。
方法
病例报告。
结果
一名80岁未佩戴隐形眼镜的健康男性，出现了一个类似实性肿瘤的粉黄色结膜肿物。手术过程中从肿物渗出的物质进行染色和培养，发现了粘质沙雷菌。组织病理学显示为一个内衬上皮的囊肿，其中巨噬细胞内含有粘质沙雷菌。
结论
虽然粘质沙雷菌通常在佩戴隐形眼镜的患者中引起角膜结膜炎，但在未佩戴隐形眼镜的患者中也可表现为类似肿瘤的肿物。
Zotero 插件