棘阿米巴和嗜麦芽窄食单胞菌性角膜炎，对侧眼为真菌性角膜炎。
Acanthamoeba and Stenotrophomonas maltophilia keratitis with fungal keratitis in the contralateral eye.
作者信息
Mauger Thomas F, Kuennen Rebecca Ann, Smith Reynell Harder, Sawyer William
机构信息
Department of Ophthalmology, The Ohio State University, Columbus, OH, USA.
出版信息
Clin Ophthalmol. 2010 Oct 21;4:1207-9. doi: 10.2147/OPTH.S14507.
PURPOSE
The purpose of this study is to describe the diagnosis, course, and outcome of a case of Acanthamoeba and Stenotrophomonas keratitis with a fungal keratitis in the contralateral eye.
METHODS
A case of Acanthamoeba and Stenotrophomonas keratitis was diagnosed with confocal microscopy and cultures with confocal diagnosis of fungal keratitis in the fellow eye.
RESULTS
During the initial treatment of the Acanthamoeba and Stenotrophomonas keratitis, the contralateral eye developed a keratitis that demonstrated hyphae in the corneal stroma with confocal microscopy consistent with fungal keratitis.
CONCLUSIONS
Bilateral chronic keratitis cannot be assumed to be caused by the same organism and independent cultures, and confocal microscopy needs to be performed to direct appropriate therapy.
目的
本研究旨在描述一例棘阿米巴和嗜麦芽窄食单胞菌性角膜炎患者对侧眼合并真菌性角膜炎的诊断、病程及结局。
方法
通过共焦显微镜检查及培养诊断出一例棘阿米巴和嗜麦芽窄食单胞菌性角膜炎，同时对侧眼经共焦显微镜检查诊断为真菌性角膜炎。
结果
在棘阿米巴和嗜麦芽窄食单胞菌性角膜炎的初始治疗期间，对侧眼发生角膜炎，共焦显微镜检查显示角膜基质中有菌丝，符合真菌性角膜炎表现。
结论
双侧慢性角膜炎不能想当然地认为是由同一病原体引起，需要进行独立培养及共焦显微镜检查以指导恰当治疗。
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