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Support of the laboratory in the diagnosis of fungal ocular infections.

Vanzzini Zago V, Alcantara Castro M, Naranjo Tackman R - Int J Inflam (2012)

Bottom Line: We describe the microbiological diagnosis in palpebral mycose; in keratitis caused by Fusarium, Aspergillus, Candida, and melanized fungi; endophthalmitis; one Histoplasma scleritis and one mucormycosis.Correct diagnosis is important because an early medical treatment gives a better prognosis for visual acuity.In some cases, fungal infections are misdiagnosed and the antifungal treatment is delayed.

View Article: PubMed Central - PubMed

Affiliation: Laboratory of Microbiology, Asociación para Evitar la Ceguera en México Hospital "Dr. Luis Sánchez-Bulnes", Vicente Garcia Torres No. 46, 04030 Coyoacán, DF, Mexico.

ABSTRACT
This is a retrospective, and descriptive study about the support that the laboratory of microbiology aids can provide in the diagnosis of ocular infections in patients whom were attended a tertiary-care hospital in México City in a 10-year-time period. We describe the microbiological diagnosis in palpebral mycose; in keratitis caused by Fusarium, Aspergillus, Candida, and melanized fungi; endophthalmitis; one Histoplasma scleritis and one mucormycosis. Nowadays, ocular fungal infections are more often diagnosed, because there is more clinical suspicion and there are easy laboratory confirmations. Correct diagnosis is important because an early medical treatment gives a better prognosis for visual acuity. In some cases, fungal infections are misdiagnosed and the antifungal treatment is delayed.

No MeSH data available.


Related in: MedlinePlus

In the same case, in Figure 14, after corneal transplant for visual acuity reason, the patient developed endophthalmitis signs.
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fig13: In the same case, in Figure 14, after corneal transplant for visual acuity reason, the patient developed endophthalmitis signs.

Mentions: From this series of patients, we describe one case of post- PRK (Photorefractive keratectomy) fungal keratitis. After a wide central corneal fungal keratitis, it was diagnosed (Figure 14), the patient was submitted to topical treatment with natamycin 5% suspension topical drops (Miconacina Sophia México); the therapeutic response to medical treatment was acceptable, and, for visual reasons, the patient was submitted to penetrate keratoplasty (PKP). Ten days after PKP, the patient developed a fungal endophthalmitis diagnosed by smears and cultures of aqueous and vitreous samples (Figures 12, 13, and 14).


Support of the laboratory in the diagnosis of fungal ocular infections.

Vanzzini Zago V, Alcantara Castro M, Naranjo Tackman R - Int J Inflam (2012)

In the same case, in Figure 14, after corneal transplant for visual acuity reason, the patient developed endophthalmitis signs.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3303867&req=5

fig13: In the same case, in Figure 14, after corneal transplant for visual acuity reason, the patient developed endophthalmitis signs.
Mentions: From this series of patients, we describe one case of post- PRK (Photorefractive keratectomy) fungal keratitis. After a wide central corneal fungal keratitis, it was diagnosed (Figure 14), the patient was submitted to topical treatment with natamycin 5% suspension topical drops (Miconacina Sophia México); the therapeutic response to medical treatment was acceptable, and, for visual reasons, the patient was submitted to penetrate keratoplasty (PKP). Ten days after PKP, the patient developed a fungal endophthalmitis diagnosed by smears and cultures of aqueous and vitreous samples (Figures 12, 13, and 14).

Bottom Line: We describe the microbiological diagnosis in palpebral mycose; in keratitis caused by Fusarium, Aspergillus, Candida, and melanized fungi; endophthalmitis; one Histoplasma scleritis and one mucormycosis.Correct diagnosis is important because an early medical treatment gives a better prognosis for visual acuity.In some cases, fungal infections are misdiagnosed and the antifungal treatment is delayed.

View Article: PubMed Central - PubMed

Affiliation: Laboratory of Microbiology, Asociación para Evitar la Ceguera en México Hospital "Dr. Luis Sánchez-Bulnes", Vicente Garcia Torres No. 46, 04030 Coyoacán, DF, Mexico.

ABSTRACT
This is a retrospective, and descriptive study about the support that the laboratory of microbiology aids can provide in the diagnosis of ocular infections in patients whom were attended a tertiary-care hospital in México City in a 10-year-time period. We describe the microbiological diagnosis in palpebral mycose; in keratitis caused by Fusarium, Aspergillus, Candida, and melanized fungi; endophthalmitis; one Histoplasma scleritis and one mucormycosis. Nowadays, ocular fungal infections are more often diagnosed, because there is more clinical suspicion and there are easy laboratory confirmations. Correct diagnosis is important because an early medical treatment gives a better prognosis for visual acuity. In some cases, fungal infections are misdiagnosed and the antifungal treatment is delayed.

No MeSH data available.


Related in: MedlinePlus