肺移植术后的内源性曲霉菌性眼内炎

Endogenous Aspergillus endophthalmitis after lung transplantation.

作者信息

Graham D A, Kinyoun J L, George D P

机构信息

Department of Ophthalmology, University of Washington, Seattle 98195.

出版信息

Am J Ophthalmol. 1995 Jan;119(1):107-9. doi: 10.1016/s0002-9394(14)73829-2.

DOI:10.1016/s0002-9394(14)73829-2

PMID:7825680

Abstract

PURPOSE/METHODS: By fundus photography and histopathologic examination, we documented a case of early endogenous Aspergillus endophthalmitis in a 29-year-old man after lung transplantation.

RESULTS/CONCLUSIONS: The clinical and histopathologic features of this case are consistent with those of previous case reports of endogenous Aspergillus endophthalmitis. Endogenous Aspergillus endophthalmitis represents a manifestation of disseminated aspergillosis, usually a fatal infection. This diagnosis should be considered in immunocompromised patients with visual disturbances, as early recognition of the fundus appearance may aid in systemic treatment.

摘要

目的/方法：通过眼底照相和组织病理学检查，我们记录了一例29岁男性肺移植术后早期内源性曲霉性眼内炎病例。

结果/结论：该病例的临床和组织病理学特征与既往内源性曲霉性眼内炎病例报告相符。内源性曲霉性眼内炎是播散性曲霉病的一种表现，通常是一种致命感染。对于有视觉障碍的免疫功能低下患者应考虑这一诊断，因为早期识别眼底表现可能有助于全身治疗。