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免疫功能正常宿主中被瓶霉属感染引起的眼眶感染

Orbital Infection by Saksenaea vasiformis in an Immunocompetent Host.

作者信息

Lumyongsatien Mingkwan, Jaru-Ampornpan Pimkwan, Uiprasertkul Mongkol, Selva Dinesh

机构信息

Department of Ophthalmology, Mettapracharak Hospital, Sampran District, 52 moo2 Rhikhing, Sampran, Nakhon Pathom, Thailand 73210.

Department of Ophthalmology, Faculty of Medicine, Siriraj Hospital, Mahidol University, 2 Arun Amarin Road, Siriraj, Bangkoknoi, Bangkok, Thailand 10700.

出版信息

Case Rep Ophthalmol Med. 2020 Sep 30;2020:8827074. doi: 10.1155/2020/8827074. eCollection 2020.

DOI:10.1155/2020/8827074
PMID:33062359
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7547347/
Abstract

Orbital mucormycosis caused by is extremely rare. Herein, we report an immunocompetent 22-year-old Thai female who presented with two months of progressive right upper eyelid mass, associated with swelling, redness, and ptosis. She failed to improve despite multiple courses of antibiotic and steroid treatment. Computed tomography (CT) scan showed infiltration involving the upper eyelid and lacrimal gland. Fungal hyphae were revealed by histopathological study. Polymerase chain reaction (PCR) was positive for (GenBank: accession number FR687327.1). The patient was successfully treated with surgical debridement, amphotericin B, and oral posaconazole.

摘要

由 引起的眼眶毛霉菌病极为罕见。在此，我们报告一名免疫功能正常的22岁泰国女性，她出现进行性右上眼睑肿物两个月，伴有肿胀、发红和上睑下垂。尽管接受了多疗程的抗生素和类固醇治疗，病情仍未改善。计算机断层扫描（CT）显示上眼睑和泪腺有浸润。组织病理学研究发现了真菌菌丝。聚合酶链反应（PCR）检测 呈阳性（GenBank：登录号FR687327.1）。该患者通过手术清创、两性霉素B和口服泊沙康唑成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5401/7547347/140c30df1fc7/CRIOPM2020-8827074.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5401/7547347/f9b2d0d6582d/CRIOPM2020-8827074.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5401/7547347/e806272a7288/CRIOPM2020-8827074.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5401/7547347/d751bbf04e2c/CRIOPM2020-8827074.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5401/7547347/5c2c0efd5423/CRIOPM2020-8827074.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5401/7547347/140c30df1fc7/CRIOPM2020-8827074.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5401/7547347/f9b2d0d6582d/CRIOPM2020-8827074.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5401/7547347/e806272a7288/CRIOPM2020-8827074.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5401/7547347/d751bbf04e2c/CRIOPM2020-8827074.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5401/7547347/5c2c0efd5423/CRIOPM2020-8827074.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5401/7547347/140c30df1fc7/CRIOPM2020-8827074.005.jpg

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本文引用的文献

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Front Microbiol. 2020 Jan 14;10:2903. doi: 10.3389/fmicb.2019.02903. eCollection 2019.
2
Saksenaea vasiformis infections: A case of an immunocompetent adult after mild injury and a literature review.赛斯卡囊被毛孢感染：一例免疫功能正常成年人在轻度损伤后的病例报告及文献复习。
J Mycol Med. 2019 Sep;29(3):260-264. doi: 10.1016/j.mycmed.2019.06.005. Epub 2019 Jul 25.
3
Saksenaea vasiformis Orbital Cellulitis in an Immunocompetent Child Treated With Posaconazole.
免疫功能正常儿童的萨特西尼球腔菌眶内蜂窝织炎经泊沙康唑治疗。
J Pediatric Infect Dis Soc. 2018 Aug 17;7(3):e169-e171. doi: 10.1093/jpids/piy021.
4
infection in an immunocompetent patient in rural Australia.澳大利亚农村地区一名免疫功能正常患者的感染情况。
BMJ Case Rep. 2017 Jun 18;2017:bcr-2017-220341. doi: 10.1136/bcr-2017-220341.
5
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Infection. 2012 Dec;40(6):703-7. doi: 10.1007/s15010-012-0338-2. Epub 2012 Sep 24.
6
Molecular methods to improve diagnosis and identification of mucormycosis.提高毛霉病诊断和鉴定的分子方法。
J Clin Microbiol. 2011 Jun;49(6):2151-3. doi: 10.1128/JCM.00256-11. Epub 2011 Apr 20.
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Mucormycosis caused by unusual mucormycetes, non-Rhizopus, -Mucor, and -Lichtheimia species.由非根霉属、毛霉属和亮菌属的异常毛霉引起的毛霉病。
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Recent advances in the treatment of mucormycosis.近年来毛霉病治疗的新进展。
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Indian J Med Microbiol. 2008 Oct-Dec;26(4):385-7. doi: 10.4103/0255-0857.43572.
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