关键词: Cladophialophora bantiana orbital cellulitis phaeohyphomycosis

Mesh : Humans Male Aged Orbital Cellulitis / microbiology etiology drug therapy surgery diagnosis Eye Injuries, Penetrating / surgery microbiology Antifungal Agents / therapeutic use Eye Infections, Fungal / microbiology drug therapy diagnosis Eye Foreign Bodies / surgery microbiology Voriconazole / therapeutic use Tomography, X-Ray Computed Ascomycota / isolation & purification Ophthalmologic Surgical Procedures

来  源:   DOI:10.1080/01676830.2023.2181976

Abstract:
A 75-year-old immunocompetent male presented with a right orbital cellulitis after a foreign body penetrating injury. He was taken for orbitotomy with foreign body removal and started on broad-spectrum antibiotics. Intra-operative cultures were positive for Cladophialophora bantiana, a mold known for causing brain abscesses with no prior reports of orbital invasion in the literature. Following culture results, the patient was managed with voriconazole and required multiple orbitotomies and washouts for infection control.
摘要:
一名75岁的有免疫能力的男性在异物穿透伤后出现右眶蜂窝织炎。他接受了异物切除的眼眶切开术,并开始使用广谱抗生素。术中培养对Cladophialophorabantiana呈阳性,一种已知引起脑脓肿的霉菌,文献中没有关于眼眶侵犯的报道。根据培养结果,患者接受了伏立康唑治疗,需要进行多次眼眶切除术和冲洗以控制感染.
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