Medical and surgical lessons learned from a severe case of Fusarium solani keratitis

Q4 Medicine
Fatema Asi MD, Loay Daas MD, Arne Viestenz MD, Berthold Seitz MD
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引用次数: 2

Abstract

This report explores the appropriate diagnostic and therapeutic measures for a complicated case of severe Fusarium solani keratitis resulting from a delayed diagnosis. Confocal microscopy, polymerase chain reaction, microbiologic, and pathologic tests were used to diagnose and define the pathogen. In this case of F solani keratitis, there was a chance that the eye would have to be enucleated. This was prevented in this patient by intensive medical and surgical care comprising 3 therapeutic keratoplasty surgeries with increasing graft size, 3 pars plana vitrectomies, 2 amniotic membrane transplantations, 27 anterior chamber washings with antifungal medications, and 1 corneal crosslinking surgery.

从一例严重梭兰镰刀菌角膜炎中吸取的医学和外科经验教训
本报告探讨了因延误诊断而导致的严重梭菌性角膜炎的复杂病例的适当诊断和治疗措施。使用共聚焦显微镜、聚合酶链反应、微生物学和病理学检查来诊断和确定病原体。在这个索拉尼角膜炎的病例中,有可能眼睛必须被去核。该患者通过加强医疗和外科护理,包括3次增加移植物大小的治疗性角膜移植手术、3次平面部玻璃体切除术、2次羊膜移植、27次使用抗真菌药物的前房清洗和1次角膜交联手术,避免了这种情况的发生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
JCRS Online Case Reports
JCRS Online Case Reports Medicine-Ophthalmology
CiteScore
0.30
自引率
0.00%
发文量
22
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