视网膜血管炎作为早产儿系统性念珠菌脓肿的早期指标。

Retinal vasculitis as an early indicator of systemic candidal abscesses in a premature infant.

作者信息

Vinekar Anand, Avadhani Kavitha, Maralusiddappa Pradeep, Prabhu Vinay M D, Mahendradas Padmamalini, Indumathi V A

机构信息

Department of Pediatric Retina, Narayana Nethralaya Postgraduate Institute of Ophthalmology, Bangalore, India.

出版信息

J AAPOS. 2011 Feb;15(1):96-7. doi: 10.1016/j.jaapos.2010.11.005.

DOI:10.1016/j.jaapos.2010.11.005

PMID:21397816

Abstract

We report a case of fungal retinal vasculitis in a 32 week gestational age, 1200 g premature infant detected during routine screening for retinopathy of prematurity at 78 days of age. The patient subsequently developed sepsis with perinephric abscess but responded rapidly to systemic therapy. Fortuitous detection of retinal vasculitis as the first evidence of a systemic fungal infection in an immunocompetent and asymptomatic infant has not, to our knowledge, been previously reported.

摘要

我们报告了一例胎龄32周、体重1200克的早产儿，在其78日龄进行早产儿视网膜病变常规筛查时发现患有真菌性视网膜血管炎。该患者随后发生败血症并伴有肾周脓肿，但对全身治疗反应迅速。据我们所知，在免疫功能正常且无症状的婴儿中偶然检测到视网膜血管炎作为系统性真菌感染的首个证据，此前尚未有过报道。