- 期刊
Keratomycosis With an Unusual Clinical Manifestation - A Case Report
非常見之角膜黴菌感染－病例報告
摘要
本文報告一個深層角膜黴菌感染的病例，其臨床上不尋常的表現包括：初期深層角膜潰瘍，做過各種鏡檢及病菌培養結果皆呈陰性，後來由角膜內皮病灶處長出絲狀物沿伸至前房中。我們以前房穿刺直接抽取病灶處絲狀物，做鏡檢及培養結果是絲狀黴菌 CladosPorium。本病例說明了深層角膜黴菌感染臨床表現的變異性，造成了臨床診斷及治療上的困難。
關鍵字
無資料並列摘要
We report a case of keratomycosis which had recurrent, deep stromal infiltration and an endothelial plaque for half a year after the original corneal foreign body injury. The subject had an unusual clinical picture of deep corneal infiltration and later hair-like material growing from the endothelial plaque into the anterior chamber. Repeated corneal scrapings for smears and cultures all showed negative during the initial treatment. We tried anterior chamber paracentesls and endothellal aspiration and got a positive finding of Cladosporlum Infection. This case is presented because of the difficulty of diagnosis and management of fungal keratomycosis.
延伸閱讀
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