Baha T Ali, Jellab B, Aderdour L, Khoumiri R, Gaboune L, Benfdil N, Moutaouakil A, Raji A
Department of Ophthalmology, University Hospital Center Mohammed VI, Marrakesh, Morocco.
Bull Soc Belge Ophtalmol. 2009(312):29-36.
Anthrax is an infectious disease that is not well known by ophthalmologists. In its cutaneous form, it may produce lesions of the eyelids. We report eight cases of palpebral anthrax. All patients presented with a black necrotic eschar and a tegumentary edema, with a history of contact with sick animals. The curative treatment was based on intravenous penicillin G in four cases and amoxicillin-clavulanic acid in the four other cases. The palpebral lesions resolved, leaving no clinical evidence of eyelid abnormalities in six patients. Only two patients developed a cicatricial ectropion and a palpebral symphysis. Although palpebral anthrax is a rare disease in humans, ophthalmologists should be aware of its symptoms and management.
炭疽是一种眼科医生不太了解的传染病。其皮肤型可导致眼睑病变。我们报告8例睑部炭疽病例。所有患者均出现黑色坏死焦痂和皮肤水肿，并有接触患病动物的病史。4例患者的治疗方案为静脉注射青霉素G，另外4例为阿莫西林-克拉维酸。睑部病变消退，6例患者未留下眼睑异常的临床证据。仅2例患者出现瘢痕性睑外翻和睑裂。尽管睑部炭疽在人类中是一种罕见疾病，但眼科医生应了解其症状及处理方法。
