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继发于……的迟发性真菌性眼内炎

Delayed fungal endophthalmitis secondary to .

作者信息

Xu Kunyong, Almeida David R P, Chin Eric K, Mahajan Vinit B

机构信息

Department of Ophthalmology, Queen's University, Kingston, Ontario, Canada.

VitreoRetinal Surgery PA, Minneapolis, MN, USA.

出版信息

Am J Ophthalmol Case Rep. 2016 May 13;3:1-4. doi: 10.1016/j.ajoc.2016.05.001. eCollection 2016 Oct.

DOI:10.1016/j.ajoc.2016.05.001
PMID:29503897
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5757398/
Abstract

PURPOSE

To describe a case of fungal endophthalmitis secondary to after cataract surgery.

OBSERVATIONS

This case showed delayed and recalcitrant fungal endophthalmitis secondary to despite treatment with pars plana vitrectomy, intravitreal antifungal therapy, and systemic antifungals.

CONCLUSIONS AND IMPORTANCE

-associated endophthalmitis should be considered in the differential diagnosis of delayed post-cataract endophthalmitis, especially in tropical or subtropical geographical areas. Awareness and early identification, timely removal of the nidi of sequestration, and prolonged antifungal treatments are important for the eradication of -associated endophthalmitis.

摘要

目的

描述一例白内障手术后继发真菌性眼内炎的病例。

观察结果

该病例显示尽管接受了玻璃体切割术、玻璃体内抗真菌治疗和全身抗真菌治疗,但仍继发了延迟性顽固性真菌性眼内炎。

结论与重要性

在白内障术后延迟性眼内炎的鉴别诊断中应考虑与[具体因素]相关的眼内炎,尤其是在热带或亚热带地区。认识并早期识别、及时清除隐匿病灶以及延长抗真菌治疗对于根除与[具体因素]相关的眼内炎很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a52/5757398/31de11d65a33/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a52/5757398/824cfbe4f801/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a52/5757398/51e5cc752459/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a52/5757398/58663a05e4d4/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a52/5757398/31de11d65a33/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a52/5757398/824cfbe4f801/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a52/5757398/51e5cc752459/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a52/5757398/58663a05e4d4/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a52/5757398/31de11d65a33/gr4.jpg

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本文引用的文献

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JAMA Ophthalmol. 2014 Sep;132(9):1123-6. doi: 10.1001/jamaophthalmol.2014.1069.
2
Curvularia endophthalmitis following open globe injuries.开放性眼球损伤后弯孢霉性眼内炎
Arch Ophthalmol. 2012 May;130(5):652-4. doi: 10.1001/archophthalmol.2011.1701.
3
Fungal endophthalmitis.真菌性眼内炎。
Expert Rev Anti Infect Ther. 2011 Dec;9(12):1191-201. doi: 10.1586/eri.11.139.
4
Curvularia lunata endophthalmitis.弯孢菌属眼内炎。
J Ocul Pharmacol Ther. 2011 Oct;27(5):535-7. doi: 10.1089/jop.2011.0002. Epub 2011 Aug 10.
5
Voriconazole in the treatment of fungal eye infections: a review of current literature.伏立康唑治疗真菌性眼部感染:当前文献综述
Br J Ophthalmol. 2008 Jul;92(7):871-8. doi: 10.1136/bjo.2007.136515.
6
Curvularia lunata endophthalmitis presenting with a posterior capsular plaque.新月弯孢霉性眼内炎伴后囊膜斑块形成
Indian J Ophthalmol. 2006 Mar;54(1):65-6. doi: 10.4103/0301-4738.21625.
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In vitro investigation of voriconazole susceptibility for keratitis and endophthalmitis fungal pathogens.伏立康唑对角膜炎和眼内炎真菌病原体敏感性的体外研究。
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