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[近期一例睑部炭疽病例]

[A recent case of palpebral anthrax].

作者信息

Sayouti A, Benhaddou R, Khoumiri R, Gaboune L, Guelzim H, Benfdil N, Elttalbi I, Moutaoukil A

机构信息

Service d'Ophtalmologie, Hôpital Antaki, Centre Hospitalier Universitaire Mohammed VI, Marrakech, Morocco.

出版信息

J Fr Ophtalmol. 2007 Apr;30(4):403-6. doi: 10.1016/s0181-5512(07)89611-2.

Abstract

Anthrax disease is an acute infection caused by Bacillus anthracis. It appears in three forms: pulmonary, intestinal, and cutaneous, whose palpebral location is rare but serious. The authors report the case of a 38-year-old patient who presented 3 weeks after the appearance of an upper and lower palpebral tumefaction. Questioning revealed that he was a cattle breeder. The ophthalmologic examination of the right eye brought out serosanguineous blisters, an edema, and necrotic scabs involving the upper and lower eyelids, preventing any clinical examination of the ocular bulb. The bacteriological sample was negative. The patient progressed well when treated with G penicillin, but retained a cicatricial ectropion. Anthrax is receiving increasing interest given how difficult it is to diagnose, the severe prognosis, and the possibility of its dissemination in bacteriological warfare or bioterrorism.

摘要

炭疽病是由炭疽杆菌引起的一种急性感染。它有三种形式:肺型、肠型和皮肤型,其中睑部炭疽罕见但病情严重。作者报告了一例38岁患者的病例,该患者在上下眼睑出现肿胀3周后就诊。询问得知他是一名养牛户。右眼的眼科检查发现有浆液血性水疱、水肿以及累及上下眼睑的坏死痂皮,致使无法对眼球进行任何临床检查。细菌学样本检测为阴性。该患者接受青霉素G治疗后恢复良好,但遗留了瘢痕性睑外翻。鉴于炭疽病诊断困难、预后严重以及在细菌战或生物恐怖主义中可能传播,它正受到越来越多的关注。

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