2009, Number 2
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Rev Mex Oftalmol 2009; 83 (2)
Queratitis infecciosa mixta secundaria a trauma con piedra de cocaína. Caso clínico
Gómez-Valcárcel M, Rodríguez-Reyes AA, Vanzzini-Zag V, Uguette Angel-Muñoz E
Language: Spanish
References: 5
Page: 116-118
PDF size: 125.11 Kb.
ABSTRACT
Keratomycosis in Mexico is caused mainly by phylamentous fungi. The most important risk factors are ocular injury and corneal ulcer contamination by dirt or vegetable material.
Herein the case report of a patient with keratomycosis by Fusarium solani due to ocular trauma with a crack-cocaine rock. The patient had poor treatment response requiring a corneal transplant and evisceration later on.
Cocaine has an anesthetic effect on corneal tissue, thereby inhibiting neutrophil phagocytosis and phagolysosomal acidification, hampering immune response and enhancing risk of infection.
REFERENCES
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Espinel-Ingorff A, Fothergill A, Ghannoum M, Maravathu E y cols. Quality control and referente guidelines for CLSI broth microdilution susceptiblility method (M 38-A document) for amphotericin B, itraconazole, posaconazole and voriconazole. J Clin Microbiol 2005; 43(10):5243-6.
Mukunda BN, Callahan JM, Hobbs MS, West BC. Cocaine inhibits human neutrophil phagocytosis and phagolysosomal acidification in vitro. Immunopharmacol Immunotoxicol 2000; 22(2):373-86.
Gianoli F, Guex-Crosier Y, Marchetti O, Wolfensberger TJ, Spahn B. Anterior segment necrosis in multidrug-resistant Fusarium keratomycosis: a case study. J Fr Ophthalmol 2005; 28(5):498-501.5.
Xien L, Dong X, Shi W. Treatment of fungal keratitis by penetrating keratoplasty. Br J Ophthalmol 2001; 85:1070-1074.