Burnier S V, Sant'Anna A E
Ophthalmology Department, São Paulo Federal University, Paulista School of Medicine (EPM), Brazil.
Mycopathologia. 1997;140(1):29-33. doi: 10.1023/a:1006803503033.
This paper describes two cases of eyelid paracoccidioidomycosis (South American blastomycosis) in which it was the first signal of the disease. In both cases the first clinical diagnosis made was not a fungal infection, but a neoplastic disease that was not confirmed by the pathology study. In the first patient we suspected a primary infection on the eyelid, because there was no other systemic signs of the disease, and in the second patient we noted a very advanced pulmonary lesions caused by the Paracoccidioides brasiliensis. We believe that, in endemic areas, the histopathological study should be made before every excisional procedures to avoid unnecessary palpebral mutilation.
本文描述了两例眼睑副球孢子菌病（南美芽生菌病），其中该病为疾病首发症状。在这两例中，最初的临床诊断并非真菌感染，而是一种经病理研究未得到证实的肿瘤性疾病。在首例患者中，由于无其他全身疾病体征，我们怀疑为眼睑原发性感染；在第二例患者中，我们注意到其肺部有由巴西副球孢子菌引起的非常严重的病变。我们认为，在流行地区，每次切除手术前均应进行组织病理学检查，以避免不必要的眼睑毁损。
