| Título : |
Infectious endotheliitis : a rare case of presumed mycotic origin |
| Tipo de documento : |
documento electrónico |
| Autores : |
Luis Fernando Zapata González, ; José David Paulo Trujillo, ; Carlos Alberto Restrepo Peláez, |
| Fecha de publicación : |
2013 |
| Títulos uniformes : |
Clinical Ophthalmology
|
| Idioma : |
Inglés (eng) |
| Palabras clave : |
Endotheliitis mycotic keratitis voriconazole |
| Resumen : |
Purpose: To report an interesting case of infectious endotheliitis of presumed mycotic origin. Methods: A case report of a 56-year-old male farmer who sought medical attention after a month-long evolution of irritative symptoms in his right eye, accompanied by visual acuity (VA) impairment. The patient received topical and oral broad-spectrum antibiotic treatment with no improvement before being referred to a cornea specialist, where he was found to have VA of 20/150 and was noted on biomicroscopy to have endothelial feathery coalescent lesions. The patient was admitted to the hospital for an aqueous humor sample and intravenous voriconazole. Results: The microbiological studies did not isolate any micro-organisms. However, clinical evidence of improvement was confirmed after 5 days of antimycotic intravenous therapy. Complete clinical resolution was achieved at 1 month after treatment completion with oral voriconazole, as evidenced by VA of 20/20 and disappearance of endothelial lesions. Conclusion: Endothelial involvement by fungi is a rare condition. In this case, no microbes were isolated, but the characteristic morphology of the lesions, the history of onychomycosis, and the spectacular response to voriconazole turn this case into a valid presumptive diagnosis. |
| Mención de responsabilidad : |
Luis Fernando Zapata, José David Paulo, Carlos A Restrepo, Luis Fernando Velásquez, Andrés E Toro Montoya, Melissa A Zapata |
| Referencia : |
Clin Ophthalmol. 2013;7:1459-61. |
| DOI (Digital Object Identifier) : |
10.2147/OPTH.S43695 |
| PMID : |
23901253 |
| Derechos de uso : |
CC BY-NC |
| En línea : |
https://www.dovepress.com/infectious-endotheliitis-a-rare-case-of-presumed-mycot [...] |
| Enlace permanente : |
https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3698 |
Infectious endotheliitis : a rare case of presumed mycotic origin [documento electrónico] / Luis Fernando Zapata González, ; José David Paulo Trujillo, ; Carlos Alberto Restrepo Peláez, . - 2013. Obra : Clinical OphthalmologyIdioma : Inglés ( eng) | Palabras clave : |
Endotheliitis mycotic keratitis voriconazole |
| Resumen : |
Purpose: To report an interesting case of infectious endotheliitis of presumed mycotic origin. Methods: A case report of a 56-year-old male farmer who sought medical attention after a month-long evolution of irritative symptoms in his right eye, accompanied by visual acuity (VA) impairment. The patient received topical and oral broad-spectrum antibiotic treatment with no improvement before being referred to a cornea specialist, where he was found to have VA of 20/150 and was noted on biomicroscopy to have endothelial feathery coalescent lesions. The patient was admitted to the hospital for an aqueous humor sample and intravenous voriconazole. Results: The microbiological studies did not isolate any micro-organisms. However, clinical evidence of improvement was confirmed after 5 days of antimycotic intravenous therapy. Complete clinical resolution was achieved at 1 month after treatment completion with oral voriconazole, as evidenced by VA of 20/20 and disappearance of endothelial lesions. Conclusion: Endothelial involvement by fungi is a rare condition. In this case, no microbes were isolated, but the characteristic morphology of the lesions, the history of onychomycosis, and the spectacular response to voriconazole turn this case into a valid presumptive diagnosis. |
| Mención de responsabilidad : |
Luis Fernando Zapata, José David Paulo, Carlos A Restrepo, Luis Fernando Velásquez, Andrés E Toro Montoya, Melissa A Zapata |
| Referencia : |
Clin Ophthalmol. 2013;7:1459-61. |
| DOI (Digital Object Identifier) : |
10.2147/OPTH.S43695 |
| PMID : |
23901253 |
| Derechos de uso : |
CC BY-NC |
| En línea : |
https://www.dovepress.com/infectious-endotheliitis-a-rare-case-of-presumed-mycot [...] |
| Enlace permanente : |
https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3698 |
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