Kontaktlinsenassoziierte Paecilomyces-lilacinus-Keratitis

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• 作者：Dr. N. Mihailovic ; M. Alnawaiseh ; L. Zumhagen ; N. Eter
• 关键词：SchlüsselwörterPilzkeratitis ; Voriconazol ; Paecilomyces lilacinus ; Hornhautulkus ; Kontaktlinsenassoziierte Keratitis
• 刊名：Der Ophthalmologe
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：114
• 期：1
• 页码：57-59
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Ophthalmology;
• 出版者：Springer Medizin
• ISSN：1433-0423
• 卷排序：114

文摘

We present the case of a 23-year-old otherwise healthy female patient with contact lens-associated Paecilomyces lilacinus keratitis. The clinical findings stabilized after initial local antimycotic and antibacterial treatment; however, in the further course of local therapy an extensive relapse occurred which required treatment by perforating keratoplasty à chaud due to a penetrating corneal ulcer. The patient responded well to subsequent treatment with systemic and local antimycotic medication. After a few months HLA-matched keratoplasty was performed. During the follow-up time of 14 months there were no signs of recurrence of the infection.