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术后角膜炎病因:一例罕见的儿科病例。

Postoperative keratitis due to : a rare pediatric case.

作者信息

Toker Ebru, Ziyade Nihan, Atici Serkan, Eda Kepenekli Kadayifçi, Türel Özden, Toprak Demet, Oray Merih, Cerikcioglu Nilgün, Soysal Ahmet, Bakir Mustafa

机构信息

Istanbul University, Istanbul Faculty of Medicine, Department of Ophthalmology, Pendik, Istanbul, Turkey.

The Council of Forensic Medicine, Department of Microbiology, Istanbul, Turkey.

出版信息

Pan Afr Med J. 2016 Aug 18;24:317. doi: 10.11604/pamj.2016.24.317.9772. eCollection 2016.

Abstract

Fungal infections like have emerged in childhood recently. The diagnosis and treatment of is difficult and the outcome is usually poor. Corneal culture should be performed on fungal media such as Sabouraud glucose neopeptone agar (SDA) as soon as possible for diagnosis. We report a rare case of in an immunocompetent child, which was unresponsive to amphotericin B. The case was managed by a multidisciplinary approach involving the departments of ophthalmology, microbiology and pediatric infectious diseases. We want to draw attention once again that fungal keratitis caused by unusual agents are increasing. Physicians should consider fungal causes of keratitis, in patients with some predisposing factors like ocular surgery and prolonged use of topical corticosteroids.

摘要

真菌感染如[具体真菌名称未给出]最近在儿童中出现。[具体真菌感染名称未给出]的诊断和治疗困难,且结果通常不佳。应尽快在真菌培养基如沙氏葡萄糖新胨琼脂(SDA)上进行角膜培养以确诊。我们报告一例免疫功能正常儿童发生[具体真菌感染名称未给出]的罕见病例,该病例对两性霉素B无反应。该病例通过眼科、微生物学和儿科传染病科的多学科方法进行处理。我们想再次提请注意,由不常见病原体引起的真菌性角膜炎正在增加。对于有眼部手术和长期使用局部皮质类固醇等一些易感因素的患者,医生应考虑角膜炎的真菌病因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6601/5267849/95a241c41794/PAMJ-24-317-g001.jpg

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