急性双边视力损失的逐步进展由于细胞鼻炎
Hiroki Tamura1, Takanori Uehara1, Yu Li1
1General Medicine, Chiba University Hospital, Chiba, JPN.
Cureus
|November 29, 2023
概括
急性侵入性真菌鼻炎 (AIFS) 在免疫功能低下的患者中会导致视力丧失,即使症状轻微. 早期诊断和用抗真菌疗法治疗对于预防严重后果至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 急性侵入性真菌鼻炎 (AIFS) 是一种罕见但严重的疾病.
- 免疫受损患者的风险更高.
- 艾菲斯可以导致严重的视力损失和内并发症.
研究的目的:
- 报告AIFS出现急性视力损失的情况.
- 突出早期诊断和治疗的重要性.
- 强调高级成像在诊断中的作用.
主要方法:
- 一个71岁的免疫力受损的男性病例报告.
- 最初的计算机断层扫描 (CT) 和对比增强磁共振成像 (MRI).
- 透镜鼻腔排水和微生物鉴定 *Aspergillus fumigatus*.
主要成果:
- 患者呈现双边视力丧失,头痛和意识改变.
- 扫描图显示轻微的鼻炎;MRI显示ethmoid鼻的参与和持续增强.
- 用AMPHOTERICIN B进行的抗真菌治疗导致了快速的临床改善和部分视力恢复.
结论:
- 应考虑在患有急性视力损失的免疫功能低下患者中使用AIFS,即使最初的发现微妙.
- 及时的鼻排水和全身抗真菌疗法对于管理AIFS至关重要.
- 像MRI这样的先进成像对于AIFS的准确诊断和分期至关重要.
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