后COVID-19患者内源性内炎:一个病例报告
Santosh Chaudhary1, Ranju K Sitaula2, Pratap Karki2
1Department of Ophthalmology, B.P. Koirala Institute of Health Sciences, Dharan.
Annals of medicine and surgery (2012)
|August 9, 2023
概括
两名COVID-19幸存者在住院和类固醇治疗后发展出罕见的内源性内耳炎 (EE). 及时诊断和治疗对于预防这些高风险患者严重视力丧失至关重要.
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:
- 在COVID-19中,眼部并发症可能是由直接的病毒效应或免疫抑制引起的.
- 住院COVID-19患者容易发生二次感染.
研究的目的:
- 在从COVID-19中恢复过来的患者中报告两例罕见的内源性内炎 (EE) 病例.
主要方法:
- 两名患有COVID-19肺炎的患者接受了remdesivir和全身类固醇治疗,视力下降.
- 诊断的玻璃体点击,帕斯普拉纳玻璃切除术,以及静脉内抗生素/类固醇被管理.
- 玻璃体液的培养是负的;尿液培养在一个案例中显示了大肠杆菌.
主要成果:
- 两位患者均被诊断为内源性内的内.
- 视觉敏度结果很差,其中一个没有光感知,另一个有光感知.
结论:
- 住院的严重COVID-19患者,特别是那些患有糖尿病和系统性类固醇等并发症的患者,面临EE的高风险.
- 延迟诊断和治疗显著恶化视觉结果.
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