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Rev. iberoam. micol ; 23(2): 104-106, jun. 2006. ilus
Article in Spanish | IBECS | ID: ibc-75372

ABSTRACT

Se presenta el caso de una infección micótica del ojo derecho en una paciente inmunocompetente intervenida por desprendimiento de retina. Tras la intervención apareció una infección que fue tratada empíricamente con antibióticos y corticoides. Se produjo un nuevo desprendimiento de retina y además, desprendimiento de coroides. La infección evolucionó a endoftalmitis, por lo que se envió una muestra al laboratorio de microbiología, donde se aisló Aspergillus fumigatus. A pesar del tratamiento con anfotericina B liposomal intravenosa e intravítrea, el ojo evolucionó a tisis, por lo que se procedió a us enucleación(AU)


A fungal infection in the right eye after retina detachment on an immunocompetent patient is reported. After surgery, she developed an infection that was empirically treated with antibiotics and corticoids. Later the patient developed another retina and choroid detachment. The infection evolved to endophthalmitis and a sample was sent to the microbiology laboratory, where Aspergillus fumigatus was isolated. In spite of treatment with intravenous and intravitreous amphotericin B, the eye was eventually removed by enucleation(AU)


Subject(s)
Humans , Female , Aspergillosis/drug therapy , Vitrectomy , Aspergillus fumigatus/isolation & purification , Endophthalmitis/drug therapy , Endophthalmitis/etiology , Endophthalmitis/microbiology , Retinal Detachment/complications , Retinal Detachment/drug therapy , Surgical Wound Infection/etiology , Surgical Wound Infection/microbiology , Amblyopia/complications , Amphotericin B/therapeutic use , Atropine/therapeutic use , Cryosurgery , Aspergillosis/surgery , Combined Modality Therapy , Endophthalmitis/surgery , Eye Enucleation/methods , Retinal Detachment/surgery , Tobramycin/therapeutic use
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