与COVID-19相关的犀牛轨道大脑粘菌病与血管侵袭:致命的后果
Nur Syazwani Redzuwan1,2, Andrea Lillianne Barr Kumarakulasinghe2, Wan Mariny W Md Kasim3
1Ophthalmology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS.
Cureus
|July 18, 2023
概括
这项案例研究突出了在服用类固醇的糖尿病COVID-19患者中出现的严重侵入性粘性肌病并发症,包括轨道顶部综合征和视网膜中枢动脉封闭. 密切监测高风险患者对于预防这种侵袭性真菌感染至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 治疗COVID-19,特别是高剂量类固醇治疗,可以增加机会性感染的风险.
- 侵入性粘真菌菌是一种罕见但有攻击性的真菌感染,通常影响免疫力低下的人.
- 失控的糖尿病是一种显著的风险因素,用于粘膜菌病.
研究的目的:
- 报告一种罕见的侵袭性粘膜瘤病例,呈现为轨道顶部综合征和视网膜中枢动脉封闭.
- 为了强调在COVID-19患者中管理这种侵袭性真菌感染的挑战.
- 强调合理使用免疫调节剂和对高风险患者的警监测的重要性.
主要方法:
- 一个中年男性患有并发病的病例报告.
- 用高累积类固醇治疗治疗COVID-19肺炎的治疗方法.
- 用全身抗真菌药物和局部安二乙注射治疗侵入性粘性菌.
主要成果:
- 右轨道顶部综合征的发展和视网膜中枢动脉封闭COVID-19后治疗.
- 尽管采取了积极的医疗和抗真菌干预措施,但粘真菌菌的快速进展.
- 患者与这种危及生命的真菌感染作斗争.
结论:
- 侵袭性粘性菌可以在免疫力低下的患者中造成毁灭性的并发症,包括那些接受COVID-19治疗的人.
- 在COVID-19管理中,合理使用免疫调节剂和类固醇是必不可少的.
- 对机会性感染的密切监测至关重要,特别是在糖尿病和其他并发症的患者中.
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