아스퍼질루스균에 의한 내인성 안내염 환자에서 뇌 기저 동맥 감염 동맥류가 동반된 증례

• 영문명: Cerebral Basilar Artery Mycotic Aneurysm Associated With Aspergillus Endogenous Endophthalmitis
• 발행기관: 대한안과학회
• 저자명: 이미연 황웅주 이원기,Mee Yon Lee, MD, Woong Joo Whang, MD, Won Ki Lee, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume51,number12, 1671~1675쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2010.12.15

영문 초록

Purpose: To report a case of mycotic aneurysm of the cerebral basilar artery associated with bilateral endogenous aspergillus endophthalmitis. Case summary: A 41-year-old man with no underlying disease presented with decreased vision in both eyes. The patient was diagnosed with bilateral endogenous endophthalmitis, and the authors performed a vitrectomy and lensectomy on the right eye. Hyphae were detected in the vitreous sample, and systemic amphotericin was administered. Three days after the operation, the patient became comatose due to a subarachnoid hemorrhage. Aspergillus antigen was detected in the vitreous sample and in the cerebrospinal fluid. Subarachnoid hemorrhage was due to the rupture of a mycotic aneurysm of the cranial basilar artery, complicated by aspergillus infection of the central nervous system. J Korean Ophthalmol Soc 2010;51(12):1671-1675

키워드

Aspergillus endophthalmitis, Endogenous endophthalmitis, Mycotic aneurysm