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頁籤選單縮合
題 名 | Endogenous Candida Endophthalmitis after Two Consecutive Procedures of Suction Dilatation and Curettage=二次人工流產後造成內生性念珠菌眼內炎 |
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作 者 | 張世彥; 陳成彥; 陳賢立; 李文浩; | 書刊名 | 長庚醫學 |
卷 期 | 25:11 2002.11[民91.11] |
頁 次 | 頁778-782 |
分類號 | 416.716 |
關鍵詞 | 眼內炎; 念珠菌; 人工流產; Endophthalmitis; Candida albicans; Suction dilatation and curettage; |
語 文 | 英文(English) |
中文摘要 | 內生性念珠菌眼內炎是ㄧ種少見的疾病,多見於處於免疫功能低落狀態之病患,發生於健康年輕女性接受人工流產之後則屬罕見。而此案例是不完全流產,再接受第二次人工流產後,眼內炎反應又惡化。 一位24歲女性,因未婚懷孕而接受人工流產,4天後發生右眼紅痛及視力下降,診斷為內生性念珠菌眼內炎。經口服抗黴菌藥物fluconazle,及玻璃體切除術併施打玻璃體內amphotericin B治療後,發炎現象得到緩解。玻璃體抽取物培養證實為白色念珠菌。陰道超音波發現有不完全流產現象,於玻璃體切除術後第5天,接受第二次人工流產。與人工流產後第3天,眼內發炎反應突然增強,而必須接受第二次玻璃體切除術與玻璃體內和靜脈amphotericin B注射。之後眼內發炎逐漸消除,手術後6個月,患眼矯正視力恢復至0.8。 內生性念珠菌眼內炎需以全身性抗黴菌藥物治療,之前使用靜脈注射之amphotericin B因全身性副作用大,目前在輕度念珠菌眼內炎多先以口服fluconazle治療;眼內炎嚴重者須施以玻璃體切除術及玻璃體內amphotericin B注射。由此案例可知:早期診斷及積極治療是決定視力預後的重要因素。 |
英文摘要 | Endogenous Candida endophthalmitis (ECE) is a rare disease. We present a patient with Candida endophthalmitis after two consecutive procedures of suction dilatation and curettage for elective abortion. A 24-year-old single woman who received a suction dilatation and curettage one week ago developed pain and blurred vision in the right eye. Endogenous Candida endophthalmitis was diagnosed and treated with oral fluconazole and pars plana vitrectomy with adjunction of intravitreal amphotericin B injection. The vitreous culture revealed Candida albicans. The vitreous inflammation subsided greatly after the initial treatment but flared up after the second dilatation and curettage for incomplete abortion 5 days after the vitrectomy. The oral fluconazole was replaced by intravenous amphotericin B, and a second vitrectomy with injection of intravitreal amphotericin B was performed. Postoperatively, the intraocular inflammation resolved gradually. Six months after the second vitrectomy, the best-corrected visual acuity in the right eye was 20/25. The excellent visual acuity of this patient was attributed to the early diagnosis and aggressive treatment. For patients with mild disease, less toxic oral fluconazole as the systemic antifungal agent instead of more toxic intravenous amphotericin B has been recommended. For those with advanced disease, intravitreal amphotericin B in conjunction with vitrectomy has been advocated by many eye surgeons. |
本系統中英文摘要資訊取自各篇刊載內容。