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波士顿I型人工角膜中真菌性角膜炎的识别:认识的重要性及新型鉴定出的裴氏外瓶霉

Recognition of Fungal Keratitis in Boston Type I Keratoprosthesis: Importance of Awareness and Novel Identification of Exophiala phaeomuriformis.

作者信息

Machen Lindsay, Chau Felix Y, de la Cruz Jose, Sugar Joel, Cortina Maria Soledad

机构信息

Department of Ophthalmology, Illinois Eye and Ear Infirmary, University of Illinois at Chicago, Chicago, IL.

出版信息

Cornea. 2018 May;37(5):655-657. doi: 10.1097/ICO.0000000000001541.

DOI:10.1097/ICO.0000000000001541
PMID:29474297
Abstract

PURPOSE

To present a case of Exophiala phaeomuriformis fungal keratitis to demonstrate the heightened concern for fungal infection in patients with a keratoprosthesis and to highlight the rare involvement of Exophiala phaeomuriformis.

METHODS

Case report.

RESULTS

Exophiala phaeomuriformis was identified in a susceptible patient 7 years after Boston type I keratoprosthesis (KPro) implantation.

CONCLUSIONS

Although fungal infiltration after KPro placement does not represent a novel clinical infection, identification of the rare Exophiala species in a patient with a KPro has not been reported and provides an opportunity for reflection on fungal identification, prophylaxis, and prevention in this vulnerable patient population.

摘要

目的

报告1例费氏外瓶霉真菌性角膜炎病例,以表明对角膜移植患者真菌感染的高度关注,并强调费氏外瓶霉感染的罕见性。

方法

病例报告。

结果

在1例接受波士顿I型人工角膜(KPro)植入7年后的易感患者中鉴定出费氏外瓶霉。

结论

虽然KPro植入后真菌浸润并非新的临床感染,但在KPro患者中鉴定出罕见的外瓶霉属物种尚未见报道,这为思考该脆弱患者群体的真菌鉴定、预防和防控提供了契机。

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Recognition of Fungal Keratitis in Boston Type I Keratoprosthesis: Importance of Awareness and Novel Identification of Exophiala phaeomuriformis.波士顿I型人工角膜中真菌性角膜炎的识别:认识的重要性及新型鉴定出的裴氏外瓶霉
Cornea. 2018 May;37(5):655-657. doi: 10.1097/ICO.0000000000001541.
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Infectious keratitis in patients undergoing Boston Type 1 keratoprosthesis (Boston KPro) procedure: case series.接受波士顿1型人工角膜(Boston KPro)手术患者的感染性角膜炎:病例系列
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