Nunery W R, Welsh M G, Saylor R L
Ophthalmic Surg. 1985 May;16(5):296-300.
A 10-year-old male developed a chronic orbital infection following penetrating trauma and retention of an orbital foreign body. Diagnosis of infection with Pseudallescheria boydii (Petriellidium boydii) was made by fungal smear and culture. Sensitivity tests indicated the organism was resistant to amphotericin B. Surgical debridement of the inferior orbit and removal of the foreign body was followed by a six-week course of intravenous miconazole. The patient has shown no signs of recurrence in a two-year follow-up period. To our knowledge, this is the first reported case of orbital infection with Pseudallescheria boydii, although the organism has been reported in cornea, ocular, and peri-orbital sinus infections.
一名10岁男性在眼眶穿透伤并留存眼眶异物后发生慢性眼眶感染。通过真菌涂片和培养诊断为波氏假阿利什霉（博伊特瓶霉）感染。药敏试验表明该菌对两性霉素B耐药。对眼眶下部进行手术清创并取出异物，随后给予六周的静脉注射咪康唑疗程。在两年的随访期内，患者未表现出复发迹象。据我们所知，这是首例报道的波氏假阿利什霉眼眶感染病例，尽管该菌已在角膜、眼部和眶周鼻窦感染中被报道过。
