人工流产后内源性念珠菌性眼内炎
Endogenous Candida endophthalmitis after induced abortion.
作者信息
Chen S J, Chung Y M, Liu J H
机构信息
Department of Ophthalmology, Veterans General Hospital-Taipei, National Yang Ming University, Taiwan, Republic of China.
出版信息
Am J Ophthalmol. 1998 Jun;125(6):873-5. doi: 10.1016/s0002-9394(98)00052-x.
PURPOSE
To report two young healthy women who developed endogenous Candida endophthalmitis after undergoing surgically induced abortion.
METHOD
Case reports.
RESULTS
In two eyes of two patients, a diagnosis of Candida endophthalmitis was established by typical fundus appearance, positive vaginal culture, and, in one case, positive vitreous culture. After vitrectomy and intravitreal amphotericin B injection, one eye of one patient had a best-corrected visual acuity of 20/200, whereas one eye of one patient, who had systemic corticosteroid treatment before the correct diagnosis, developed recurrent retinal detachment and a best-corrected visual acuity of counting fingers.
CONCLUSIONS
Induced abortion may cause endogenous Candida endophthalmitis in young healthy pregnant women. Systemic corticosteroid treatment may increase the risk of endophthalmitis.
目的
报告两名年轻健康女性在接受人工流产手术后发生内源性念珠菌性眼内炎的病例。
方法
病例报告。
结果
在两名患者的两只眼中，通过典型的眼底表现、阴道培养阳性以及其中一例玻璃体培养阳性确诊为念珠菌性眼内炎。在进行玻璃体切割术和玻璃体内注射两性霉素B后，一名患者的一只眼最佳矫正视力为20/200，而另一名患者在正确诊断前接受全身皮质类固醇治疗的一只眼发生了复发性视网膜脱离，最佳矫正视力为指数。
结论
人工流产可能导致年轻健康孕妇发生内源性念珠菌性眼内炎。全身皮质类固醇治疗可能增加眼内炎的风险。
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