内源性弯孢瓶霉性眼内炎。
Endogenous Phialemonium curvatum endophthalmitis.
作者信息
Zayit-Soudry Shiri, Neudorfer Meira, Barak Adiel, Loewenstein Anat, Bash Edna, Siegman-Igra Yardena
机构信息
Department of Ophthalmology, Tel-Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel.
出版信息
Am J Ophthalmol. 2005 Oct;140(4):755-7. doi: 10.1016/j.ajo.2005.04.037.
PURPOSE
To report a case of bilateral endogenous Phialemonium curvatum endophthalmitis, secondary to intrapenile injections for erectile dysfunction.
DESIGN
Observational case report.
METHODS
A 71-year-old man with P. curvatum endocarditis and bilateral decreased vision was diagnosed as having bilateral endogenous endophthalmitis. P. curvatum was identified in cultures that were performed on samples of the vitreous. Treatment consisted of bilateral vitrectomy and intraocular and systemic antifungals.
RESULTS
Despite resolution of the systemic infection, the patient's postoperative visual acuity remained limited to hand movement, and the ophthalmic clinical picture remained unchanged.
CONCLUSIONS
P. curvatum is a pathogen that can be readily isolated from the vitreous. The authors are unaware of previous reported cases of ocular infection that was caused by P. curvatum.
目的
报告一例双侧内源性弯孢镰刀菌性眼内炎病例，该病例继发于阴茎内注射治疗勃起功能障碍。
设计
观察性病例报告。
方法
一名71岁男性，患有弯孢镰刀菌性心内膜炎且双侧视力下降，被诊断为双侧内源性眼内炎。在玻璃体样本培养中鉴定出弯孢镰刀菌。治疗包括双侧玻璃体切除术以及眼内和全身抗真菌治疗。
结果
尽管全身感染得到缓解，但患者术后视力仍仅能达到手动，眼科临床表现未改变。
结论
弯孢镰刀菌是一种可轻易从玻璃体中分离出的病原体。作者未发现此前有弯孢镰刀菌引起眼部感染的报道病例。
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