MTA-SZTE "Lendület" Fungal Pathogenicity Mechanisms Research Group, Közép Fasor 52, Szeged, 6726, Hungary.
Department of Microbiology, Faculty of Science and Informatics, University of Szeged, Közép Fasor 52, Szeged, 6726, Hungary.
Mycopathologia. 2018 Jun;183(3):603-609. doi: 10.1007/s11046-017-0235-4. Epub 2018 Jan 27.
We report a case of a 59-year-old male patient with a postoperative fungal infection of the left eye. A dark-pigmented yeast, Exophiala dermatitidis (previously known as Wangiella dermatitidis), was identified from the culture of the biopsy taken from the posterior capsule. The infection was successfully eradicated by a combination of surgical and medical (i.e., voriconazole and fluconazole) treatment. This is the first report of successfully treated E. dermatitidis endophthalmitis, which demonstrates that a prompt and aggressive antifungal therapy combined with surgical intervention is necessary to prevent vision loss in cases of endophthalmitis due to Exophiala species. Beside the case description, we also aim to provide a literature review of previously reported eye infections caused by Exophiala species in order to help the future diagnosis and management of the disease.
我们报告了 1 例 59 岁男性左眼术后真菌感染病例。从后囊活检中培养出的一种深色素酵母,皮炎外瓶霉(以前称为皮炎外瓶霉)。通过手术和药物(即伏立康唑和氟康唑)联合治疗成功消除了感染。这是首例成功治疗的皮炎外瓶霉眼内炎的报告,表明对于外瓶霉属引起的眼内炎,需要及时积极的抗真菌治疗联合手术干预,以防止视力丧失。除了病例描述,我们还旨在对以前报道的由外瓶霉属引起的眼部感染进行文献复习,以帮助对该病的未来诊断和管理。