眼部超声检查发现真菌性眼内炎：一例报告
Fungal Endophthalmitis on Ocular Ultrasound: A Case Report.
作者信息
Fender Kimberly, Bautista Merrick, Patel Hiten, Ostro Benjamin, Boulger Creagh
机构信息
The Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, Ohio.
出版信息
Clin Pract Cases Emerg Med. 2022 Feb;6(1):37-40. doi: 10.5811/cpcem.2021.10.53797.
INTRODUCTION
Endophthalmitis is a rare intraocular infection caused by numerous organisms from several possible sources. Fungal endophthalmitis is a rare subset of this pathology with limited diagnostics available. One of the few options to make this diagnosis is vitreous sampling, which is invasive, and results are not immediately available.
CASE REPORT
This case report describes the successful use of point-of-care ultrasound to visualize an intraocular fungal mass in a 60-year-old male who presented to the emergency department (ED) with two weeks of left eye pain and erythema approximately two months postoperative from a cataract extraction surgery.
CONCLUSION
Fungal endophthalmitis is a rare and challenging diagnosis. Methods of diagnosing this pathology are not readily available in the ED. Point-of-care ultrasound may be a useful adjunct for the prompt diagnosis of fungal endophthalmitis.
引言
眼内炎是一种罕见的眼内感染，由多种可能来源的多种病原体引起。真菌性眼内炎是这种病理情况中罕见的一个子集，可用的诊断方法有限。做出这种诊断的少数选择之一是玻璃体取样，这是侵入性的，且结果不能立即获得。
病例报告
本病例报告描述了即时超声检查在一名60岁男性患者中的成功应用，该患者因白内障摘除手术后约两个月出现左眼疼痛和红斑两周，就诊于急诊科（ED），通过即时超声检查可视化了眼内真菌团块。
结论
真菌性眼内炎是一种罕见且具有挑战性的诊断。急诊科不容易获得诊断这种病理情况的方法。即时超声检查可能是快速诊断真菌性眼内炎的有用辅助手段。
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