Scedosporium apiospermum chorioretinitis

被引:12
作者
Kirath, H
Uzun, Ö
Kiraz, N
Eldem, B
机构
[1] Univ Hacettepe, Dept Ophthalmol, Infect Dis Sect, Hacettepe Sch Med, TR-06100 Ankara, Turkey
[2] Univ Hacettepe, Dept Med, Infect Dis Sect, Hacettepe Sch Med, TR-06100 Ankara, Turkey
[3] Osmangazi Univ, Fac Med, Dept Microbiol, Eskisehir, Turkey
来源
ACTA OPHTHALMOLOGICA SCANDINAVICA | 2001年 / 79卷 / 05期
关键词
Scedosporium apiospermum; Pseudallescheria boydii; choroid; retina; itraconazole; maduromycosis;
D O I
10.1034/j.1600-0420.2001.790524.x
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose: A case of a 24-year-old immunocompetent woman who developed unilateral Scedosporium apiospermum chorioretinitis and diffuse cervical lymphadenitis 10 years after facial steroid injection is described. Methods. The patient was initially treated for the misdiagnosis of tuberculous lymphadenitis. Contemporaneous to the enlargement of her lymph nodes, she experienced gradual loss of vision in her left eye. She subsequently underwent lymph node biopsy. Results. Histopathologic sections stained with Grocott's methenamine silver showed branched septate hyphae and cultures on Sabouraud's agar yielded Scedosporium apiospermum. The patient received oral itraconazole 200 mg twice daily. Lymphadenitis regressed within a year and chorioretinitis scarred within two years. Conclusion: Scedosporium apiospermum may cause isolated chorioretinitis mi an immunocompetent individual years after local surgery or trauma and result in significant visual morbidity. Treatment may require prolonged use of systemic itraconazole.
引用
收藏
页码:540 / 542
页数:3
相关论文
共 14 条
  • [1] TREATMENT FAILURE IN A CASE OF FUNGAL KERATITIS CAUSED BY PSEUDALLESCHERIA-BOYDII
    BLOOM, PA
    LAIDLAW, DAH
    EASTY, DL
    WARNOCK, DW
    [J]. BRITISH JOURNAL OF OPHTHALMOLOGY, 1992, 76 (06) : 367 - 368
  • [2] BOUCHARD CS, 1991, OPHTHALMIC SURG LAS, V22, P98
  • [3] HOSPENTHAL DR, 2000, PRINCIPLES PRACTICE, P2772
  • [4] FUNGAL PANOPHTHALMITIS SECONDARY TO SCEDOSPORIUM-APIOSPERMUM (PSEUDALLESCHERIA-BOYDII) KERATITIS
    KSIAZEK, SM
    MORRIS, DA
    MANDELBAUM, S
    ROSENBAUM, PS
    [J]. AMERICAN JOURNAL OF OPHTHALMOLOGY, 1994, 118 (04) : 531 - 533
  • [5] FUNGAL ENDOPHTHALMITIS - AN EXPERIMENTAL-STUDY WITH A REVIEW OF 17 HUMAN OCULAR CASES
    MCGUIRE, TW
    BULLOCK, JD
    BULLOCK, JD
    ELDER, BL
    FUNKHOUSER, JW
    [J]. ARCHIVES OF OPHTHALMOLOGY, 1991, 109 (09) : 1289 - 1296
  • [6] *NAT COMM CLIN LAB, 1998, REF METH BROTH DIL A
  • [7] NUNNERY WR, 1985, OPHTHALMIC SURG, V16, P296
  • [8] ORR PH, 1993, CAN J OPHTHALMOL, V28, P187
  • [9] ENDOGENOUS PSEUDALLESCHERIA-BOYDII ENDOPHTHALMITIS - CLINICOPATHOLOGICAL FINDINGS IN 2 CASES
    PFEIFER, JD
    GRAND, MG
    THOMAS, MA
    BERGER, AR
    LUCARELLI, MJ
    SMITH, ME
    [J]. ARCHIVES OF OPHTHALMOLOGY, 1991, 109 (12) : 1714 - 1717
  • [10] RUBEN S, 1991, ACTA OPHTHALMOL, V69, P684, DOI 10.1111/j.1755-3768.1991.tb04862.x