Medical and surgical lessons learned from a severe case of Fusarium solani keratitis
| Autor: | Arne Viestenz, Fatema Asi, Berthold Seitz, Loay Daas |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
Pars plana Antifungal medicine.medical_specialty biology business.industry medicine.drug_class Surgical care 030106 microbiology medicine.disease biology.organism_classification Delayed diagnosis Keratitis Surgery 03 medical and health sciences Ophthalmology Graft size 0302 clinical medicine medicine.anatomical_structure 030221 ophthalmology & optometry medicine business Fusarium solani |
| Zdroj: | Journal of Cataract and Refractive Surgery Online Case Reports. 6:15-18 |
| ISSN: | 2214-1677 |
| Popis: | This report explores the appropriate diagnostic and therapeutic measures for a complicated case of severe Fusarium solani keratitis resulting from a delayed diagnosis. Confocal microscopy, polymerase chain reaction, microbiologic, and pathologic tests were used to diagnose and define the pathogen. In this case of F solani keratitis, there was a chance that the eye would have to be enucleated. This was prevented in this patient by intensive medical and surgical care comprising 3 therapeutic keratoplasty surgeries with increasing graft size, 3 pars plana vitrectomies, 2 amniotic membrane transplantations, 27 anterior chamber washings with antifungal medications, and 1 corneal crosslinking surgery. |
| Databáze: | OpenAIRE |
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