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眼部曲霉菌病:获取标本对诊断至关重要。三例报告。

Ocular aspergillosis: Obtaining a specimen is crucial for diagnosis. A report of three cases.

作者信息

Comez Arzu Taskiran, Komur Baris, Akcali Alper, Otkun Muserref Tatman

机构信息

Department of Ophthalmology, School of Medicine, Canakkale Onsekiz Mart University, Canakkale 17020, Turkey.

Department of Microbiology, and Clinical Microbiology, School of Medicine, Canakkale Onsekiz Mart University, Canakkale 17020, Turkey.

出版信息

Med Mycol Case Rep. 2012 Jun 16;1(1):39-41. doi: 10.1016/j.mmcr.2012.06.002. eCollection 2012.

Abstract

Aspergillus species have been implicated in a wide variety of primary ocular conditions, characterized by either slow and asymptomatic infection, or rapid, uncontrollable progression and sometimes death. The study design is a case series including chronic asymptomatic dacryocystitis, dacryocystitis with dacryoliths and endogenous endophthalmitis. Due to this variable clinical presentation of aspergillosis a high level of suspicion must be maintained as fulminant aspergillosis may lead to a rapidly progressive infection which may result in death.

摘要

曲霉菌种与多种原发性眼部疾病有关,其特征为感染缓慢且无症状,或进展迅速、无法控制,有时甚至会导致死亡。该研究设计为一个病例系列,包括慢性无症状泪囊炎、伴有泪石的泪囊炎和内源性眼内炎。由于曲霉菌病的临床表现多样,必须高度怀疑,因为暴发性曲霉菌病可能导致迅速进展的感染,进而可能导致死亡。

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本文引用的文献

6
Lacrimal sac plugging caused by Aspergillus fumigatus.烟曲霉引起的泪囊堵塞
Acta Ophthalmol Scand. 1998 Apr;76(2):241-2. doi: 10.1034/j.1600-0420.1998.760224.x.
7
Invasive aspergillosis.侵袭性曲霉病
Clin Infect Dis. 1998 Apr;26(4):781-803; quiz 804-5. doi: 10.1086/513943.
9
Fungal dacryocystitis.
Ophthalmology. 1993 Feb;100(2):150.

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