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内源性眼诺卡菌病:一例介入治疗病例报告并文献复习。

Endogenous ocular nocardiosis: an interventional case report with a review of the literature.

机构信息

Jules Gonin Eye Hospital, University of Lausanne, Switzerland.

出版信息

Surv Ophthalmol. 2011 Sep-Oct;56(5):383-415. doi: 10.1016/j.survophthal.2011.03.003. Epub 2011 Aug 2.

Abstract

We present an illustrative case of endogenous ocular Nocardia (EON) infection in a man with Hodgkin disease treated by chemotherapy who underwent aggressive vitreoretinal surgery for diagnosis and treatment of a subretinal abscess. Visual acuity recovered from hand movements to 20/25. We review the 38 reported cases of EON published between 1967 and 2007, describe the clinical presentation from a systemic and ocular point of view, examine which ocular procedures were successful in identifying the bacterium, and analyze ocular morbidity and the factors affecting successful treatment.

摘要

我们报告了一例由化疗治疗的霍奇金病患者发生的眼内源性诺卡氏菌(EON)感染,该患者因视网膜下脓肿而行积极的玻璃体视网膜手术进行诊断和治疗。视力从手动恢复到 20/25。我们回顾了 1967 年至 2007 年间报告的 38 例 EON 病例,从全身和眼部的角度描述了临床表现,检查了哪些眼部手术成功地发现了细菌,并分析了眼部发病率和影响成功治疗的因素。

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