冠状病毒后疾病双边内源性真菌内,视力完全恢复:一个病例报告
Jessica L Leyva1,2, Rodrigo T Celis3, Adriana Vargas4
1"Luis Razetti" School of medicine, Central University of Venezuela, Caracas, Venezuela. jessileyva@gmail.com.
Journal of medical case reports
|October 22, 2025
概括
内源性内眼炎 (眼睛的真菌感染) 可以发生在COVID-19后. 早期诊断和治疗,包括沃里康纳和手术,对于这些严重病例的视力恢复至关重要.
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:
- 严重急性呼吸道综合征冠状病毒2 (SARS-CoV-2) 感染越来越多地与内源性内耳炎 (EE) 相关.
- EE是一种严重的眼内炎症,由眼睛的微生物播种引起,通常在免疫受损的个体中.
- 延迟治疗EE可能会导致不可逆转的视力丧失.
研究的目的:
- 报告COVID-19后的真菌内源性内耳炎病例的诊断和管理.
- 强调早期诊断和及时干预的重要性,以获得有利的视觉结果.
主要方法:
- 一个64岁的男性在COVID-19后因Candida albicans而患有双边真菌EE的案例介绍.
- 眼部检查显示明显的视力障碍 (6/200),瞳孔光反射异常,眼膜炎,出血和胆膜炎.
- 治疗涉及系统性沃里康纳和手术干预.
主要成果:
- 患者经历了治疗后视力敏度的完全恢复.
- 这一案例表明,在COVID-19后的患者中,真菌EE的成功管理.
结论:
- 在出现眼部症状的COVID-19患者中,对EE的高怀疑指数是必要的.
- 早期诊断和及时治疗对于预防EE视力损失至关重要.
- 阴性培养不应延迟怀疑EE的治疗开始.
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