ENDOGENOUS ASPERGILLUS-INDUCED ENDOPHTHALMITIS - SUCCESSFUL TREATMENT WITHOUT SYSTEMIC ANTIFUNGAL MEDICATION

被引：25

作者：

GROSS, JG ^{[1
]}

机构：

[1] UNIV S CAROLINA,SCH MED,DEPT OPHTHALMOL,COLUMBIA,SC 29208

来源：

RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES | 1992年 / 12卷 / 04期

关键词：

Amphotericin B; Aspergillus terreus; Fungal endophthalmitis; Intravenous drug abuse; Vitrectomy;

D O I：

10.1097/00006982-199212040-00008

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

A 32-year-old man had unilateral visual loss, a gravitational layering of preretinal inflammatory cells in the macula (pseudohypopyon), subretinal infiltrates, and hemorrhagic vasculitis. The patient initially denied intravenous drug abuse. Aspergillus terreus was cultured from undiluted vitreous obtained from a diagnostic and therapeutic vitrectomy specimen. Intravitreal and subconjunctival injections of amphotericin B alone were successful treatment. To the author's knowledge, antemortem diagnosis and treatment of A. terreus-induced endophthalmitis has not been reported previously. This article describes the second case of aspergillar endophthalmitis successfully treated without adjunctive systemic antifungal therapy.

引用

页码：341 / 345

页数：5

共 21 条

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