关键词: dengue fever evisceration surgery haemorrhage inflammation panophthalmitis

来  源:   DOI:10.7759/cureus.63948   PDF(Pubmed)

Abstract:
Panophthalmitis is an exceptionally rare but severe ocular complication of dengue fever, which is currently a significant health concern in parts of India. It is a purulent inflammation encompassing all structures of the globe (choroid, retina, vitreous fluid, aqueous fluid, cornea, sclera, and conjunctiva) along with surrounding orbital and periorbital structures. This case series highlights the occurrence of panophthalmitis in three patients diagnosed with dengue, who were aged 35, 50, and 75 years. Despite aggressive medical management, including intravenous antibiotics, the patients were ultimately scheduled for evisceration surgery due to the extreme severity of the condition. Healthcare providers must be aware of the potential ocular complications in dengue cases and diagnose them promptly. While ocular involvement in dengue is rare, this case series emphasizes the importance of recognizing ocular manifestations in dengue patients, as early diagnosis and prompt intervention can prevent severe complications.
摘要:
胰腺炎是登革热的一种非常罕见但严重的眼部并发症,目前在印度部分地区是一个重大的健康问题。它是一种化脓性炎症,涵盖了地球的所有结构(脉络膜,视网膜,玻璃体液,水性流体,角膜,巩膜,和结膜)以及周围的眼眶和眼眶结构。这个病例系列突出了三名诊断为登革热的患者中全眼炎的发生,年龄分别为35岁、50岁和75岁。尽管积极的医疗管理,包括静脉注射抗生素,由于病情严重,患者最终被安排进行内脏手术。医疗保健提供者必须意识到登革热病例中潜在的眼部并发症,并及时诊断。虽然登革热的眼部受累很少,本系列病例强调认识登革热患者眼部表现的重要性,早期诊断和及时干预可预防严重并发症。
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