轨道性真菌菌:了解席卷全球的致命真菌
Shaheen Farooq1, Nabab A Khan1, Ajeet Singh1
1Ophthalmology, Sardar Patel Medical College, Prince Bijay Singh Memorial (PBM) Hospital, Bikaner, IND.
Cureus
|July 31, 2023
概括
COVID-19幸存者面临着一种严重的真菌感染 - - 粘真菌菌病的激增. 谨慎使用皮质类固醇和严格的血糖控制对于管理犀牛轨道脑粘膜病 (ROCM) 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
- 菌类学 菌类学是指菌类学.
背景情况:
- 粘菌菌是一种罕见的真菌感染,不成比例地影响免疫力低下的人.
- 在印度的COVID-19感染后,已经观察到粘性菌病例的显著增加,特别是犀牛轨道脑粘性菌病 (ROCM).
- 在COVID-19康复后的几周内,ROCM通常会显现出来,需要紧急临床治疗.
研究的目的:
- 在COVID-19后的时代,确定与ROCM相关的风险因素.
- 分析ROCM的眼部表现.
- 评估轨道粘膜菌的医疗和外科管理策略.
主要方法:
- 进行了一项基于医院的前性观察性研究.
- 包括148名呈现ROCM的患者.
- 数据收集涉及详细的病史,全身和眼科检查,包括视敏度,裂灯和 fundus 评估.
主要成果:
- COVID-19阳性是显著的风险因素 (68.24%),特别是在接受氧气支持的患者中.
- 糖尿病是另一个主要的并发症 (58.10%).
- 类固醇使用,特别是在COVID-19患者中,与ROCM (47.97%) 有关. 鼻和轨道顶部的参与是常见的,眼是最常见的迹象.
结论:
- 建议合理使用皮质类固醇,以减轻ROCM的风险.
- 有效的糖尿病管理和代谢控制对于患者的治疗结果至关重要.
- 早期诊断,积极的治疗,包括手术除菌和抗真菌疗法,以及多学科的方法,对于成功的ROCM管理至关重要.
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