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静脉药物滥用者的镰刀菌性眼内炎。

Fusarium endophthalmitis in an intravenous drug abuser.

作者信息

Gabriele P, Hutchins R K

机构信息

Department of Ophthalmology, University of Cincinnati College of Medicine, OH 45219, USA.

出版信息

Am J Ophthalmol. 1996 Jul;122(1):119-21. doi: 10.1016/s0002-9394(14)71976-2.

DOI:10.1016/s0002-9394(14)71976-2
PMID:8659586
Abstract

PURPOSE

We studied a case in which a patient had unilateral retinal infiltrates and a retinal vasculopathy resembling frosted branch angiitis. He later admitted to injecting cocaine intravenously.

METHODS

The patient underwent a pars plana vitrectomy and received intravitreal and intravenous amphotericin B.

RESULTS

The vitreous fluid grew Fusarium dimerium. There was rapid response to the treatment and full recovery of vision.

CONCLUSION

Fusarium species should be considered as a potential pathogen in intravenous drug abusers with endogenous endophthalmitis and in patients with unilateral frosted branch angiitis.

摘要

目的

我们研究了一例患者,其患有单侧视网膜浸润及类似霜样树枝状视网膜血管病变的视网膜血管病。该患者后来承认曾静脉注射可卡因。

方法

患者接受了玻璃体切割术,并接受了玻璃体内及静脉注射两性霉素B治疗。

结果

玻璃体液培养出双隔镰孢菌。治疗反应迅速,视力完全恢复。

结论

对于患有内源性眼内炎的静脉药物滥用者及单侧霜样树枝状视网膜血管病变患者,应考虑镰孢菌属为潜在病原体。

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