Ramli Siti Roszilawati, Francis Alex Lourdes, Yusof Yushaniza, Khaithir Tzar Mohd Nizam
Institute for Medical Research, Jalan Pahang, 50588 Kuala Lumpur, Wilayah Persekutuan, Malaysia.
Pathology Department, Hospital Raja Permaisuri Bainun, Jalan Hospital, 30990 Ipoh, Perak, Malaysia.
Case Rep Infect Dis. 2013;2013:851875. doi: 10.1155/2013/851875. Epub 2013 Nov 27.
A 52-year-old man with diabetes developed a unilateral central corneal ulcer after accidental foreign body inoculation. He complained of pain and loss of visual acuity in the injured eye, which displayed redness and edema and eventually discharged pus. A corneal scraping from the left eye orbit revealed fungal elements, and cultures of the material grew a fungus. The isolate was identified as Arthrographis kalrae based on gross and microscopic morphologies. The patient received amphotericin B intravenously and itraconazole orally. The wound healed following surgical intervention, but the patient lost the use of his left eye.
一名52岁的糖尿病男性在意外接种异物后发生了单侧中央角膜溃疡。他主诉受伤眼疼痛和视力丧失，该眼表现为发红和水肿，最终排出脓液。从左眼眼眶刮取的角膜组织显示有真菌成分，该材料培养出一种真菌。根据大体和微观形态，分离株被鉴定为卡尔氏节丛孢菌。患者接受了静脉注射两性霉素B和口服伊曲康唑治疗。手术干预后伤口愈合，但患者左眼失明。
