中央视网膜动脉封闭是三体皮相关的急性侵入性真菌鼻炎的罕见并发症
Li Farong1, Li Xiaodong2, Qin Xuewei3
1Department of Ophthalmology, The First People's Hospital of Changde City, Changde, Hunan Province, P.R. China.
BMC ophthalmology
|November 26, 2025
概括
急性侵入性真菌鼻炎 (AIFRS) 可能导致视力损失从中枢视网膜动脉封闭 (CRAO). 对于高风险患者来说,早期诊断和及时的抗真菌治疗对于预防严重并发症至关重要.
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:
- 急性侵入性真菌鼻炎 (AIFRS) 是一种严重的感染,死亡率高,通常涉及鼻,并可能扩散到大脑.
- 眼部并发症可能是广泛感染的信号,需要进行彻底的眼科检查.
研究的目的:
- 报告一种罕见的AIFRS病例,由Trichoderma感染引起.
- 要突出AIFRS与中视网膜动脉封闭 (CRAO) 之间的关联.
- 强调早期诊断和治疗具有眼部表现的AIFRS的重要性.
主要方法:
- 一个45岁的糖尿病男性的案例研究,表现为面部麻木和视力丧失.
- 由于最初的错误诊断,延迟了诊断和治疗.
- 眼科成像,包括眼底光素血管造影 (FFA),证实了CRAO.
主要成果:
- 患者发展了由CRAO复杂的AIFRS.
- 尽管接受了ICU护理和手术,但患者死于败血症和内感染.
- FFA证实动脉堵塞是视力丧失的原因.
结论:
- 在高风险人群中早期识别AIFRS至关重要.
- 系统的眼科评估对于快速视力丧失的患者至关重要.
- 多学科合作和明智的皮质类固醇使用至关重要;在真菌感染中对CRAO的血栓溶解仍在争论中.
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