传染性硬化炎的二次性阿斯珀吉勒斯内:诊断PCR的实用性
Kevin F Elwood1, Evan J Warner, Jonathan S Chang
1Department of Ophthalmology and Visual Sciences, University of Wisconsin-Madison.
Retinal cases & brief reports
|July 19, 2024
概括
由Aspergillus fumigatus引起的延迟发作的真菌性硬化和内炎可能导致严重的视力丧失. 广泛的聚合酶链反应 (PCR) 有助于诊断这种罕见的疾病,使得有针对性的抗真菌治疗成为可能.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 医学真菌学 医学真菌学
背景情况:
- 性硬化和内炎是罕见但严重的眼部感染.
- 延迟诊断可能导致显著的视觉发病率和潜在的视力损失.
- 阿斯伯吉勒斯烟雾菌是一种常见的真菌病原体,与眼部感染有关.
研究的目的:
- 报告一个延迟发病的Aspergillus fumigatus内的病例.
- 要突出由传染性真菌性硬化症引起的内炎的次要发展.
- 为了证明广泛的聚合酶链反应 (PCR) 在诊断中的实用性.
主要方法:
- 回溯案例报告. 回溯案例报告.
- 临床检查包括裂纹灯摄影,光学连贯性断层扫描和 fundus 摄影.
- 诊断性玻璃切除术,采用玻璃体样本和大范围PCR和培养的质结节脱bridement.
主要成果:
- 一名76岁的男性在眼睛受伤8个月后出现了视力恶化和疼痛.
- 传染病的后果最初是负面的;患者接受了抗炎药物治疗.
- 玻璃体和膜样本的广泛PCR证实了Aspergillus fumigatus,导致针对性抗真菌治疗.
结论:
- 性硬化和内性带有很高的患病风险.
- 诊断性玻璃切除术和广泛的PCR对于快速准确的诊断至关重要.
- 这种方法促进了针对性的抗真菌治疗,特别是在耐火病例中.
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