特发性镰刀菌硬泡炎：病例报告

IF 1.9 3区医学 Q2 OPHTHALMOLOGY Cornea Pub Date : 2025-04-01 Epub Date: 2024-08-29 DOI:10.1097/ICO.0000000000003689

Akaanksh Shetty, Drew Baeza, Guillermo Amescua, Anat Galor

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摘要

目的：报告一例成功治愈的特发性镰刀菌性硬脑膜炎病例，患者健康，无可辨认的危险因素：我们描述了一例因右侧眼部、面部和头部疼痛而就诊的 79 岁男性病例。初步检查发现颞巩膜变薄、炎症和前房细胞/炎症。化验结果为镰刀菌阳性：患者接受了天疱疮下两性霉素、巩膜内伏立康唑、手术清创、Rose Bengal 光动力疗法、全身用伏立康唑和泊沙康唑以及外用纳他霉素等治疗。感染缓解后，患者的视力提高到了 20/40：结论：镰刀菌性硬泡炎可以在没有明确风险因素的情况下发生。本病例强调了积极的多模式治疗方法对成功治疗的重要性。

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Idiopathic Fusarium Sclerouveitis: A Case Report.

Purpose: To report a successfully managed case of idiopathic Fusarium sclerouveitis in a healthy patient with no identifiable risk factors.

Methods: We describe a case of a 79-year-old man who presented with right-sided eye, facial, and head pain. Initial examination revealed temporal scleral thinning, inflammation, and anterior chamber cell/flare. Cultures were positive for Fusarium species.

Results: The patient was treated with sub-Tenon amphotericin, intrascleral voriconazole, surgical debridement, Rose Bengal photodynamic therapy, systemic voriconazole and posaconazole, and topical natamycin. The infection resolved and the patient's visual acuity improved to 20/40.

Conclusions: Fusarium sclerouveitis can occur without clear risk factors. This case highlights the importance of an aggressive, multimodal treatment approach for successful management.

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来源期刊

Cornea 医学-眼科学

CiteScore

5.20

自引率

10.70%

发文量

354

审稿时长

3-6 weeks

期刊介绍： For corneal specialists and for all general ophthalmologists with an interest in this exciting subspecialty, Cornea brings together the latest clinical and basic research on the cornea and the anterior segment of the eye. Each volume is peer-reviewed by Cornea''s board of world-renowned experts and fully indexed in archival format. Your subscription brings you the latest developments in your field and a growing library of valuable professional references. Sponsored by The Cornea Society which was founded as the Castroviejo Cornea Society in 1975.