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一名免疫功能低下患者眼眶内容剜除术后原发性眼眶曲霉菌瘤

Primary orbital aspergilloma of the exenterated orbit in an immunocompromized patient.

作者信息

Naik M N, Vemuganti G K, Honavar S G

机构信息

Division of Ophthalmic Plastic Surgery and Orbital Diseases and Ocular Oncology, L.V. Prasad Eye Institute, L.V. Prasad Marg, Banjara Hills, Hyderabad - 500 034, Andhra Pradesh, India.

出版信息

Indian J Med Microbiol. 2006 Jul;24(3):233-4.

PMID:16912450
Abstract

Aspergilloma is a fungal ball that usually forms in a preformed stationary cavity, mostly in lung and paranasal sinuses. We report a rare case of primary orbital Aspergilloma following exenteration for an invasive ocular surface squamous neoplasia, clinically mimicking a recurrence of the tumor. The fungal ball showed the presence of conidiophores with a globular head and a complete row of uni and biserrate phialides, suggestive of Aspergillus flavus species. The exposure to air in the orbit, possibly promoted the formation of conidiophores, which are normally seen when the organism is located in air cavities.

摘要

曲霉菌球是一种通常在预先形成的固定腔内形成的真菌球,主要见于肺部和鼻窦。我们报告了一例罕见的原发性眼眶曲霉菌球病例,该病例发生在因侵袭性眼表鳞状上皮肿瘤而进行眶内容剜除术后,临床上酷似肿瘤复发。真菌球显示存在带有球形头部的分生孢子梗以及完整的单列和双列锯齿状小梗,提示为黄曲霉。眼眶暴露于空气中,可能促进了分生孢子梗的形成,而分生孢子梗通常在该生物体位于气腔时可见。

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引用本文的文献

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Orbital apex syndrome secondary to aspergilloma masquerading as a paranasal sinus tumor: A case report and literature review.曲霉菌瘤伪装成鼻窦肿瘤继发眶尖综合征:一例报告及文献复习
Medicine (Baltimore). 2018 Jul;97(30):e11650. doi: 10.1097/MD.0000000000011650.
2
Aspergillus niger Infection of an Orbital Exenteration Socket Can Be Treated with Oral Itraconazole.眼眶内容剜除术后腔隙的黑曲霉感染可用口服伊曲康唑治疗。
Case Rep Ophthalmol Med. 2012;2012:763651. doi: 10.1155/2012/763651. Epub 2012 Dec 24.
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[Lung cavities, mycetomas and hemoptysis].
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