以复发性结膜肿物为表现的结膜真菌感染1例
Conjunctival fungal infection mimicking a recurrent conjunctival mass: a case report
患者男性,40岁,左眼反复出现眼表肿物1年余,患者在外院诊断为左眼结膜肿物,接受了结膜肿物切除术和抗炎治疗,术后1周肿物复发;近半年来患者自觉左眼肿物逐渐增大伴随视力下降加重。在首都医科大学附属北京同仁医院接受了结膜肿物切除联合羊膜移植术后,组织病理学检查结果揭示了结膜真菌感染,诊断为左眼真菌性结膜炎和结膜肉芽肿。经过口服抗真菌药物和局部治疗,患者病情稳定,肿物未复发。
更多A 40-year-old man presented with recurrent ocular surface masses in his left eye persisting for over a year. Despite undergoing resection of the conjunctival mass and receiving anti-inflammatory treatment at another hospital, the mass reappeared within a week post-surgery. Over the past 6 months, the mass gradually increased in size, accompanied by a decline in vision. Following conjunctival mass excision combined with amniotic membrane transplantation at Beijing Tongren Hospital, Capital Medical University, histopathological examination revealed a fungal infection of the conjunctiva, resulting in a diagnosis of fungal conjunctivitis and conjunctival granuloma in the left eye. The patient received systemic antifungal medications and local therapy, resulting in a stable condition with no recurrence of the mass.
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