严重的眼睛和眼周区域mpox感染
Colin Bacorn1, Shahriyar Majidi2, Hannah Schultz2
1Department of Ophthalmology, Division of Oculoplastic Surgery, Johns Hopkins Hospital, Baltimore, MD, USA.
Ophthalmic plastic and reconstructive surgery
|July 5, 2023
概括
Fulminant mpox (麻疹) 可以导致严重的眼睛并发症,包括眼死亡和角膜穿孔,特别是在艾滋病患者中. 在这些严重病例中,积极的治疗并没有防止视力丧失或死亡.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 病毒学 病毒学
背景情况:
- 马波克斯是一种新兴的动物性病毒性疾病.
- 莫波克斯的眼睛和眼睛表现可能是严重的.
- 免疫功能低下的个体,特别是艾滋病患者,患有严重mopox结局的风险更高.
研究的目的:
- 在获得性免疫缺陷综合征 (艾滋病) 患者中报告两例突发性mopox与严重的眼部和眼周并发症的病例.
- 要突出mpox对该患者群体视力和生存的潜在破坏性影响.
主要方法:
- 两名艾滋病患者的病例报告呈现出严重的mopox.
- 详细的临床表现,包括眼睛和眼睛周围的发现.
- 进行的医疗和外科干预的描述.
主要成果:
- 案例1:流动的mopox病变导致轨道区综合征和眼完全亡.
- 案例2:眼mopox参与进展到角膜融化和穿孔.
- 两位患者都经历了永久的视力损失,尽管有积极的管理.
- 两位患者最终因并发症而死亡.
结论:
- Fulminant mpox对眼睛健康构成重大威胁,特别是在患有艾滋病的免疫功能低下个体中.
- 严重的眼睛和眼周损伤可以迅速导致不可逆转的视力丧失和死亡.
- 及时识别和积极管理至关重要,但可能不会改变严重病例的不良预后.
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