白内障手术后发生硫黄赭色卵孢霉性眼内炎。
Ovadendron sulphureo-ochraceum endophthalmitis after cataract surgery.
作者信息
Lee B L, Grossniklaus H E, Capone A, Padhye A A, Sekhon A S
机构信息
Department of Ophthalmology, Emory University School of Medicine, Atlanta, Georgia.
出版信息
Am J Ophthalmol. 1995 Mar;119(3):307-12. doi: 10.1016/s0002-9394(14)71172-9.
PURPOSE
We examined an 82-year-old woman with delayed-onset endophthalmitis caused by an opportunistic pathogen, Ovadendron sulphureo-ochraceum.
METHODS
Tissue obtained during vitrectomy was cultured and examined by light and electron microscopy. An enucleation specimen was examined by light microscopy.
RESULTS
The patient had fungal endophthalmitis, with O. sulphureo-ochraceum present in the lens capsule. The eye developed a necrotizing scleritis secondary to O. sulphureo-ochraceum. The patient failed to respond to intravitreous, subconjunctival, and systemic amphotericin B, and the eye was enucleated.
CONCLUSION
In this case of O. sulphureo-ochraceum as a human pathogen, the organism caused endophthalmitis after cataract extraction.
目的
我们检查了一名82岁女性，她患有由机会致病菌硫磺赭色卵孢霉引起的迟发性眼内炎。
方法
对玻璃体切除术中获取的组织进行培养，并通过光学显微镜和电子显微镜检查。对眼球摘除标本进行光学显微镜检查。
结果
该患者患有真菌性眼内炎，晶状体囊膜中有硫磺赭色卵孢霉。眼睛继发硫磺赭色卵孢霉感染后出现坏死性巩膜炎。患者对玻璃体内、结膜下及全身应用两性霉素B均无反应，最终眼球被摘除。
结论
在本例硫磺赭色卵孢霉作为人类病原体的病例中，该菌在白内障摘除术后引起了眼内炎。
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