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Revista Mexicana de Oftalmología

Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México
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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
Full text How to cite this article

Language: Spanish
References: 5
Page: 116-118
PDF size: 125.11 Kb.


Key words:

Keratomycosis, cocaine rock.

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

  1. Reuben A, Anaisse E, Nelson PE, Hazme R, Legrand C, Ho DH, Bodey GP. Antifungal susceptibility of 44 isolates of Fusarium species determined by using a broth microdilution test. Antimicrob Agent Chemotherapy 1989; 33(9):1647-1649.

  2. 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.

  3. 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.

  4. 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.

  5. Xien L, Dong X, Shi W. Treatment of fungal keratitis by penetrating keratoplasty. Br J Ophthalmol 2001; 85:1070-1074.




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Rev Mex Oftalmol. 2009;83