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培养阳性的登革热相关性全眼球炎罕见病例:病例系列

Rare Instances of Culture-Positive Dengue-Related Panophthalmitis: A Case Series.

作者信息

Modgil Chaitanya, Magdum Renu, Mushtaq Iqra

机构信息

Ophthalmology, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Pune, IND.

出版信息

Cureus. 2024 Jul 6;16(7):e63948. doi: 10.7759/cureus.63948. eCollection 2024 Jul.

Abstract

Panophthalmitis is an exceptionally rare but severe ocular complication of dengue fever, which is currently a significant health concern in parts of India. It is a purulent inflammation encompassing all structures of the globe (choroid, retina, vitreous fluid, aqueous fluid, cornea, sclera, and conjunctiva) along with surrounding orbital and periorbital structures. This case series highlights the occurrence of panophthalmitis in three patients diagnosed with dengue, who were aged 35, 50, and 75 years. Despite aggressive medical management, including intravenous antibiotics, the patients were ultimately scheduled for evisceration surgery due to the extreme severity of the condition. Healthcare providers must be aware of the potential ocular complications in dengue cases and diagnose them promptly. While ocular involvement in dengue is rare, this case series emphasizes the importance of recognizing ocular manifestations in dengue patients, as early diagnosis and prompt intervention can prevent severe complications.

摘要

全眼球炎是登革热一种极其罕见但严重的眼部并发症,目前在印度部分地区是一个重大的健康问题。它是一种脓性炎症,累及眼球的所有结构(脉络膜、视网膜、玻璃体液、房水、角膜、巩膜和结膜)以及周围的眼眶和眶周结构。该病例系列突出了3例确诊为登革热的患者(年龄分别为35岁、50岁和75岁)发生全眼球炎的情况。尽管进行了积极的药物治疗,包括静脉注射抗生素,但由于病情极其严重,这些患者最终还是被安排进行眼球摘除手术。医疗服务提供者必须意识到登革热病例中潜在的眼部并发症,并及时进行诊断。虽然登革热累及眼部的情况罕见,但该病例系列强调了识别登革热患者眼部表现的重要性,因为早期诊断和及时干预可以预防严重并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8da0/11299046/c953d1f494b0/cureus-0016-00000063948-i01.jpg

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