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Nocardia Subretinal Abscess: A Rare and Challenging Case Report

机译:Nocardia Subretinal脓肿:一个难得和挑战性的案例报告

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Purpose . To describe a positive clinical response of a patient with submacular Nocardia abscess due to a rapid and efficient treatment. Case report . We describe a case of a 50-year-old man with a painless visual decline of the left eye. Four years later, he had been diagnosed with systemic nocardiosis. Examination of the left eye revealed a submacular white mass with fluffy borders and another smaller white lesion, with well-defined borders, in the inferior temporal vascular arch. A systemic antibiotic treatment with SMX-TMP and intravenous imipenem and a single intravitreal injection of bevacizumab was performed. Conclusion . Prompt diagnosis and treatment ensured an expeditious resolution of the abscess and significant improvement of visual acuity. The diagnostic approach of a high index of suspicion coupled with directed treatment is required when dealing with subretinal inflammatory lesions.
机译:目的 。 描述由于快速高效的治疗,患有患者患者患者的临床反应。 案例报告 。 我们描述了一个50岁男性的案例,左眼无痛的视觉下降。 四年后,他已被诊断出患有全身性嗜癌症。 左眼检测揭示了毛茸茸的边界和另一个较小的白色病变,具有明确定义的边界,在较低的时间血管拱门中。 进行了用SMX-TMP和静脉内亚氨酰胺的全身抗生素治疗和单人腔内注射Bevacizumab。 结论 。 提示诊断和治疗确保了迅速解决的脓肿和显着改善视力。 在处理分子瘤炎性病变时需要与定向处理相结合的高索引的诊断方法。

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