呈现与中枢视网膜动脉封闭的犀牛轨道性粘性菌:一个病例报告
Irem Sena Sarac1, Yasemin Aksu1, Dilan Yildiz1
1Ophthalmology, Prof. Dr. Cemil Taşçıoğlu City Hospital, Istanbul, TUR.
Cureus
|August 18, 2025
概括
犀牛轨道脑粘膜炎 (ROCM) 是一种严重的真菌感染,通常是致命的,特别是在糖尿病患者中. 这一案例凸显了Rhizopus oryzae的攻击性,即使得到及时治疗.
科学领域:
- 传染性疾病 传染性疾病
- 菌类学 菌类学是指菌类学.
- 眼科医生 眼科 眼科
背景情况:
- 犀牛轨道脑粘膜炎 (ROCM) 是一种危及生命的真菌感染.
- 它是由Mucorales真菌引起的,通常是Rhizopus oryzae.
- ROCM主要影响患有糖尿病或免疫系统受损的个人.
研究的目的:
- 在糖尿病患者中报告ROCM病例.
- 为了说明临床表现和诊断挑战.
- 讨论管理策略和结果.
主要方法:
- 一个64岁的糖尿病女性患者的病例报告.
- 基于临床,放射学和微生物学发现的诊断.
- 治疗包括抗真菌疗法和外科干预 (轨道排气,内镜外科手术).
主要成果:
- 这位患者出现了ROCM,视网膜中枢动脉封闭,神经麻和鼻炎.
- 这种真菌培养证实了Rhizopus oryzae.
- 尽管进行了积极的治疗,但患者因感染而死亡.
结论:
- 由Rhizopus oryzae引起的ROCM具有高度的攻击性,并具有显著的死亡率.
- 早期诊断和多学科管理至关重要.
- 即使有迅速的干预,在严重的情况下,结果也可能很差.
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