Kuthan Robert, Kurowska Anna K, Izdebska Justyna, Szaflik Jacek P, Lutyńska Anna, Swoboda-Kopeć Ewa
Department of Medical Microbiology, Medical University of Warsaw, 5 Chałubińskiego Street, 02-004 Warsaw, Poland.
Department of Ophthalmology, Medical University of Warsaw, 24/26 Marszałkowska Street, 00-576 Warsaw, Poland.
Pathogens. 2021 Aug 18;10(8):1046. doi: 10.3390/pathogens10081046.
This report describes the first case of an ocular infection induced by in Poland. The patient was a 51-year-old immunocompetent contact lens user who suffered from subacute keratitis and progressive granulomatous uveitis. He underwent penetrating keratoplasty for corneal perforation, followed by cataract surgery due to rapid uveitic cataract. A few weeks later, intraocular lens removal and pars plana vitrectomy were necessary due to endophthalmitis. The patient was treated with topical, systemic, and intravitreal voriconazole with improvement; however, the visual outcome was poor. The pathogen was identified by MALDI-TOF MS.
本报告描述了波兰首例由[具体病因未给出]引起的眼部感染病例。患者为一名51岁免疫功能正常的隐形眼镜佩戴者,患有亚急性角膜炎和进行性肉芽肿性葡萄膜炎。他因角膜穿孔接受了穿透性角膜移植术,随后由于葡萄膜炎性白内障迅速发展而接受了白内障手术。几周后,由于眼内炎,需要进行人工晶状体摘除和玻璃体切除术。患者接受了局部、全身和玻璃体内伏立康唑治疗后病情有所改善;然而,视觉预后较差。病原体通过基质辅助激光解吸电离飞行时间质谱(MALDI-TOF MS)鉴定。