Rassi Tiago Nelson de Oliveira, Passos Rafael Ricardo Barcelos, Kumagai Karina Mitiko, Soranz Filho João Edward, Freitas João Alberto Holanda de
Pontifícia Universidade Católica de São Paulo, Sorocaba, SP, Brasil.
Arq Bras Oftalmol. 2009 Nov-Dec;72(6):822-5. doi: 10.1590/s0004-27492009000600016.
Ocular involvement of paracoccidioidomycosis is rare and when it occurs it is usually secondary to hematogenic dissemination. A case of multifocal paracoccidioidomycosis in a 73 year-old male after history of blunt trauma in the right eye with a stick of wood that presented as the first clinical sign a lid-conjunctival lesion is described. The possible primary ocular infection spreading by contiguity is argued and the disease manifestation in an advanced age is highlighted.
副球孢子菌病累及眼部较为罕见，一旦发生通常继发于血行播散。本文描述了一例73岁男性患者，右眼曾被木棍钝器击伤，之后出现多灶性副球孢子菌病，其首个临床体征为睑结膜病变。文中讨论了可能通过直接蔓延导致的原发性眼部感染，并强调了该疾病在老年患者中的表现。
