病例报告：尽管在瓶霉属眼内炎的积极治疗下，预后仍不佳。
Case Report: Poor Outcome Despite Aggressive Management in Pythium insidiosum Endophthalmitis.
机构信息
Anant Bajaj Retina Institute, L V Prasad Eye Institute (LVPEI), Hyderabad, India.
Jhaveri Microbiology Centre, LVPEI, Hyderabad, India.
出版信息
Am J Trop Med Hyg. 2022 Dec 12;108(1):27-30. doi: 10.4269/ajtmh.22-0441. Print 2023 Jan 11.
Pythium insidiosum is a parasitic oomycete that can cause keratitis and closely resembles fungus, both clinically and morphologically. It requires a trained microbiologist for its differentiation from fungal filaments and has poor response to antifungal therapy. We present a case of primary isolation of the organism from the vitreous cavity in a case of endophthalmitis. The infection spread quickly and involved all the ocular tissues. The eye had poor visual outcome despite a sequence of rapidly completed retinal and corneal surgeries along with initiation of anti-Pythium therapy.
棘蛙属是一种寄生的卵菌，可引起角膜炎，在临床上和形态上与真菌非常相似。它需要经过专门的微生物学家进行区分，与真菌丝不同，而且对抗真菌治疗反应不佳。我们报告了一例眼内炎病例中从玻璃体腔中首次分离出该病原体。感染迅速扩散，累及所有眼组织。尽管迅速完成了一系列视网膜和角膜手术，并开始了抗棘蛙属治疗，但眼睛的视力预后仍然很差。
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