López-Medrano Ramiro, Pérez Madera Alberto, Fuster Foz Carlos
Sección de Microbiología, Hospital El Bierzo, Ponferrada, León, España.
Servicio de Oftalmología, Hospital El Bierzo, Ponferrada, León, España.
Rev Iberoam Micol. 2015 Apr-Jun;32(2):111-4. doi: 10.1016/j.riam.2013.11.004. Epub 2014 May 2.
Purpureocillium lilacinum eye infections (previously called Paecilomyces lilacinus) make up a significant percentage of the recorded cases of infection by this fungus, and is considered as an emerging pathogen.
To report a case of ocular mycosis in a patient aged 70, with a double corneal transplantation in the right eye, and exhibiting a poor response to antifungal and surgical treatment.
Corneal ring and ocular tissues obtained by surgical procedures were cultured in common mycological media. Molecular identification of the isolated fungus was obtained.
Colonies of a filamentous fungus were obtained, and according to the macroscopic and microscopic morphology it was identified as P. lilacinum. The identification was confirmed by molecular methods in a reference laboratory.
Eye infections due to P. lilacinum are rare but serious diseases that requires rapid diagnostic and therapeutic measures to enable visual function to recover.
淡紫拟青霉眼部感染（以前称为淡紫拟青霉）在该真菌记录的感染病例中占相当大的比例，被认为是一种新兴病原体。
报告一例70岁患者的眼部真菌病，该患者右眼进行了两次角膜移植，对抗真菌和手术治疗反应不佳。
将通过手术获得的角膜环和眼组织在普通真菌培养基中培养。对分离出的真菌进行分子鉴定。
获得了丝状真菌的菌落，根据宏观和微观形态鉴定为淡紫拟青霉。在参考实验室通过分子方法确认了鉴定结果。
淡紫拟青霉引起的眼部感染虽罕见但严重，需要采取快速诊断和治疗措施以使视功能恢复。
