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一名恶性肿瘤患者的隐球菌性眼内炎:病例报告及文献综述

Cryptococcal endophthalmitis in a patient with malignancy: A case report and literature review.

作者信息

Phaopraphat Kamonchanok, Sirijatuphat Rujipas

机构信息

Division of Infectious Diseases and Tropical Medicine, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

出版信息

Med Mycol Case Rep. 2025 Apr 23;48:100703. doi: 10.1016/j.mmcr.2025.100703. eCollection 2025 Jun.

Abstract

Cryptococcal endophthalmitis is a rare manifestation of cryptococcal infection, typically occurring in immunocompromised patients. In this case report, we present a 50-year-old female with advanced-stage lung cancer with multiple metastases presenting with blurred vision for 10 days. A diagnostic pars plana vitrectomy revealed in the vitreous. She was treated with systemic amphotericin B and flucytosine, followed by fluconazole for consolidation and maintenance, along with intravitreal amphotericin B and voriconazole injections. Her visual acuity improved from counting fingers at 2 feet to 3/60, with a pinhole correction of 6/18 after 10 months of treatment.

摘要

隐球菌性眼内炎是隐球菌感染的一种罕见表现,通常发生在免疫功能低下的患者中。在本病例报告中,我们介绍了一名50岁患有晚期肺癌并伴有多处转移的女性,她出现视力模糊10天。诊断性玻璃体切割术在玻璃体中发现了[具体内容缺失]。她接受了全身两性霉素B和氟胞嘧啶治疗,随后用氟康唑进行巩固和维持治疗,同时进行玻璃体内注射两性霉素B和伏立康唑。经过10个月的治疗,她的视力从2英尺处数手指提高到3/60,针孔矫正后为6/18。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1666/12423708/ce1fff7a3508/gr1.jpg

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