Silva M R, Mendes R P, Lastória J C, Barraviera B, Marques S A, Kamegasawa A
Department of Ophthalmology, School of Medicine of Botucatu, UNESP, São Paulo, Brazil.
Mycopathologia. 1988 May;102(2):87-96. doi: 10.1007/BF00437445.
We present 6 patients with ocular involvement due to paracoccidioidomycosis. All cases were confirmed by the finding of Paracoccidioides brasiliensis in histopathological or direct mycologic examination of material from the lesion in the eyelid or conjunctiva. In two cases the bulbar conjunctiva was also involved, in another the cornea, and still another patient developed endophthalmitis. The presence of this mutilating disease which may lead to blindness should be suspected when chronic blepharitis or palpebral ulcerated papular lesions are detected in patients from endemic areas of paracoccidioidomycosis. This etiology should also be suspected in patients with anterior and posterior uveitis after discarding the most frequent causes of this condition.
我们报告6例因副球孢子菌病累及眼部的患者。所有病例均通过在眼睑或结膜病变组织的组织病理学检查或直接真菌学检查中发现巴西副球孢子菌得以确诊。2例患者球结膜也受累，另1例角膜受累，还有1例患者发生了眼内炎。当在副球孢子菌病流行地区的患者中检测到慢性睑缘炎或睑部溃疡性丘疹病变时，应怀疑存在这种可能导致失明的致残性疾病。在排除葡萄膜炎最常见病因后，对于患有前、后葡萄膜炎的患者也应怀疑这种病因。
