Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 1997
Endophthalmitis after Lasiodiplodia theobromae corneal abscess.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Borderie V M, Bourcier T M, Poirot J L, Baudrimont M, Prudhomme de Saint-Maur P, Laroche L
Аннотация
BACKGROUND: Lasiodiplodia theobromae is an exceptional cause of human keratomycosis.
PATIENT: We treated a 53-year-old man with fungal keratitis, which had been treated with topical betamethasone and gentamicin for 1 month, and endophthalmitis due to Lasiodiplodia theobromae. Despite intensive systemic, topical and intravitreal fungicidal treatment, enucleation had to be performed.
RESULTS: The vitreous aspirate cultures were negative as of the second amphotericin intravitreal injection. However, histology revealed that the fungus was present in the cornea, ciliary body, iris and retina.
CONCLUSION: The use of topical steroids may worsen the outcome of the infection.
PATIENT: We treated a 53-year-old man with fungal keratitis, which had been treated with topical betamethasone and gentamicin for 1 month, and endophthalmitis due to Lasiodiplodia theobromae. Despite intensive systemic, topical and intravitreal fungicidal treatment, enucleation had to be performed.
RESULTS: The vitreous aspirate cultures were negative as of the second amphotericin intravitreal injection. However, histology revealed that the fungus was present in the cornea, ciliary body, iris and retina.
CONCLUSION: The use of topical steroids may worsen the outcome of the infection.