首页|微孢子虫感染导致角膜穿孔1例并文献复习

微孢子虫感染导致角膜穿孔1例并文献复习

Corneal perforation caused by microsporidia infection:a case report and literature review

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目的 探讨微孢子虫感染性角膜穿孔的诊疗方法,临床特点、诊断依据和研究进展.方法 回顾性分析1例微孢子虫感染导致角膜穿孔患者的临床资料并复习相关文献进行总结.结果 微孢子虫感染性角膜溃疡穿孔是罕见的眼部感染性疾病,传染途径暂不明确,可能与患者不洁手卫生史有关.角膜组织病检及荧光增白剂染色、宏基因组检测可确诊.在病程早期及时进行宏基因组检测对于尽早明确病原体类型、及时治疗用药具有关键性的指导作用.结论 近年来,微孢子虫感染引起角膜疾病的病例越来越多,临床医生在诊断结膜炎相关的非典型点状上皮性角膜炎的过程中,应考虑微孢子虫感染的角膜结膜炎,避免发展为角膜穿孔,严重危及视力.
Objective To investigate the diagnosis,treatment,clinical features,diagnostic principles,and research progress of cor-neal perforations caused by Microsporidia infection.Methods We retrospectively analyzed the clinical data of a patient with corneal perforation caused by Microsporidia infection and reviewed relevant literature.Results Microsporidial infection of corneal ulcer per-foration is a rare infectious ocular disease.The transmission route is unclear but could be related to unclean hand hygiene.The diag-nosis can be confirmed through corneal tissue examination,fluorescent whitening agent staining,and metagenomic detection.Early metagenomic detection during the disease course is crucial for the early identification of pathogen types and timely medication pre-scriptions.Conclusion In recent years,increased cases of Microsporidium keratoconjunctivitis have occurred in healthy individuals.Clinicians should consider Microsporidium keratoconjunctivitis in diagnosing conjunctivitis-related atypical punctate epithelial kerati-tis to avoid corneal perforation,which seriously endangers vision.

Corneal ulcerMicrosporidiumVittaforma corneaeCornea transplantationMetagenomics Next-Generation Sequencing

王玲、黎明、应方微、王玉、温文、姚晓明

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深圳市眼科医院眼病防治研究所,广东 深圳 518040

深圳市眼科医院角膜病科,广东 深圳 518040

角膜溃疡 微孢子虫 Vittaforma corneae 角膜移植 宏基因组测序

广东省高水平临床重点专科深圳市配套建设经费

SZGSP014

2024

山东大学耳鼻喉眼学报
山东大学

山东大学耳鼻喉眼学报

CSTPCD
影响因子:0.671
ISSN:1673-3770
年,卷(期):2024.38(5)