학술논문
Candida glabrata as an aetiological factor of the fulminant course of panophthalmitis.
Document Type
Report
Author
Bilska-Stokłosa J; Department of Maxillofacial Surgery, Heliodor Święcicki Clinical Hospital, University of Medical Sciences, Poznań, Poland.; Hampelska K; Central Microbiology Laboratory, H. Swiecicki Clinical Hospital, University of Medical Sciences, Poznań, Poland.; Osmola K; Department of Maxillofacial Surgery, Heliodor Święcicki Clinical Hospital, University of Medical Sciences, Poznań, Poland.; Czajka J; Department of Maxillofacial Surgery, Heliodor Święcicki Clinical Hospital, University of Medical Sciences, Poznań, Poland.; Bogdanowicz-Gapińska D; Department of Maxillofacial Surgery, Heliodor Święcicki Clinical Hospital, University of Medical Sciences, Poznań, Poland.; Tomczak H; Central Microbiology Laboratory, H. Swiecicki Clinical Hospital, University of Medical Sciences, Poznań, Poland.
Source
Publisher: Institute of Agricultural Medicine Country of Publication: Poland NLM ID: 9500166 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1898-2263 (Electronic) Linking ISSN: 12321966 NLM ISO Abbreviation: Ann Agric Environ Med Subsets: MEDLINE
Subject
Language
English
Abstract
Introduction: The role of fungi in infections in immunocompromised patients is a growing problem in both diagnosis and treatment. Candida species are the most common cause of fungal, endogenous endophthalmitis and infections of the cornea.
Case Study: A patient was admitted to hospital due to acute inflammation of the tissue of the left orbit, 1.5 years after the corneal penetrating transplantation of the left eye with intracapsular extraction of lens and simultaneous anterior vitrectomy. The microbiological system identified: Streptococcus pyogenes, Staphylococcus aureus, and Candida glabrata in the patient.
Conclusions: The factors conducive to fungal infections are: patient's old age, immune disorders and diabetes, as well as the presence of a necrotic tissue or a foreign body. All these parameters were met in this case. Only antibiotic therapy and long-term antifungal therapy, together with surgical debridement of the site of the ongoing infection produces clinical effects in such severe cases.
Case Study: A patient was admitted to hospital due to acute inflammation of the tissue of the left orbit, 1.5 years after the corneal penetrating transplantation of the left eye with intracapsular extraction of lens and simultaneous anterior vitrectomy. The microbiological system identified: Streptococcus pyogenes, Staphylococcus aureus, and Candida glabrata in the patient.
Conclusions: The factors conducive to fungal infections are: patient's old age, immune disorders and diabetes, as well as the presence of a necrotic tissue or a foreign body. All these parameters were met in this case. Only antibiotic therapy and long-term antifungal therapy, together with surgical debridement of the site of the ongoing infection produces clinical effects in such severe cases.