Gionfriddo J R
Department of Clinical Sciences, Colorado State University, College of Veterinary Medicine, Fort Collins, USA.
Vet Clin North Am Small Anim Pract. 2000 Sep;30(5):1029-50. doi: 10.1016/s0195-5616(00)05005-1.
Systemic fungal diseases are important diagnostic considerations in all sick cats, particularly in cats with ocular symptoms. The most common ocular manifestation of these diseases is posterior uveitis (choroiditis); however, anterior uveitis is sometimes present and is usually secondary to the inflammation in the posterior segment. Occasionally, adnexal diseases such as blepharitis, inflammation of the nictitating membrane, and ocular discharge may be present in cats with systemic mycoses. The prognosis for cats with systemic fungal diseases has changed with the advent of the triazole antifungal drugs. In the past, the prognosis was guarded to poor for survival of the cat. Today, with prolonged antifungal therapy, many cats recover completely from their disease. The prognosis for return of vision for eyes affected with systemic fungal disease is still guarded. Often, even if the infection is controlled systemically, the retina is severely damaged and may remain nonfunctional.
全身性真菌病是所有患病猫都需要重点考虑的诊断因素，尤其是有眼部症状的猫。这些疾病最常见的眼部表现是后葡萄膜炎（脉络膜炎）；然而，有时也会出现前葡萄膜炎，且通常继发于后段炎症。偶尔，全身性霉菌病的猫可能会出现眼睑炎、瞬膜炎症和眼部分泌物等附属器疾病。随着三唑类抗真菌药物的出现，全身性真菌病猫的预后已经发生了变化。过去，猫存活的预后情况是谨慎到较差。如今，通过延长抗真菌治疗，许多猫能完全康复。全身性真菌病累及眼睛恢复视力的预后情况仍不乐观。通常，即使全身感染得到控制，视网膜也会严重受损且可能仍无功能。
