Dacryocystitis due to sporothrix inoculated vis an unusual mode: Case report.
Dacryocystitis due to sporothrix inoculated vis an unusual mode: Case report.
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DOI：
10.1097/md.0000000000011182
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发表时间：
2018-06
期刊：
影响因子：
1.6
通讯作者：
Zhang M
中科院分区：
文献类型：
--
作者：
Sun L;Dong Y;Wang X;Shan B;Zhang M
孢子丝菌病是最常见的皮下真菌病。它是由二相性真菌申克孢子丝菌引起的。眼部孢子丝菌病并不常见，也很少有报道。我们描述一位34岁女性，在左眼内侧角附近出现一个增大的结节。最初，她被误诊为泪囊占位性病变，通过手术切除了病变。组织病理学检查发现真菌结构有助于泪囊炎的诊断。进一步结膜分泌物和隐形眼镜储存液培养均为孢子丝菌阳性。她口服伊曲康唑200毫克，每天两次。口服伊曲康唑3个月后，结膜分泌物培养阴性。临床疑似霉菌病是最重要的，即使是在不寻常的地方或在没有典型的流行病史的情况下。
Sporotrichosis is the most common subcutaneous mycosis. It is caused by the dimorphic fungus Sporothrix schenckii. Ocular sporotrichosis is uncommon and has been rarely reported. We describe a 34-year-old female who presented with a nodule increasing in size near the medial angle of the left eye. Originally, she was misdiagnosed with a dacryocyst space-occupying lesion, and the lesion was removed by surgery. Findings of fungal structures in the histopathological examination contributed to the diagnosis of Sporothrix dacryocystitis. Further culture of conjunctival secretions and contact lens storage solution was positive for Sporothrix. She was treated with oral itraconazole, 200 mg by mouth twice daily. After 3 months of treatment with oral itraconazole, culture of the conjunctival secretions was negative. It is of paramount importance to clinically suspect mycosis, even in unusual locations or in the absence of the typical epidemiological history.