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由新青霉菌引起的真菌性眼内炎的临床特征及治疗结果
Authors Qi C, Mo B, Jiang C, Li J, Bo X, Xiao X, Zhou H, Long J
Received 25 February 2025
Accepted for publication 20 June 2025
Published 23 July 2025 Volume 2025:18 Pages 3671—3675
DOI https://doi.org/10.2147/IDR.S517505
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Prof. Dr. Héctor M. Mora-Montes
Chunxia Qi,1,* Biyun Mo,1,* Changhong Jiang,2,* Jiali Li,3 Xuguang Bo,1 Xuhui Xiao,1 Hao Zhou,4 Jun Long1
1Department of Laboratory Medicine, ZhuJiang Hospital of Southern Medical University, Guangzhou, Guangdong, 510000, People’s Republic of China; 2Quality Management Section, ZhuJiang Hospital of Southern Medical University, Guangzhou, Guangdong, 510000, People’s Republic of China; 3Department of Ophthalmology, ZhuJiang Hospital of Southern Medical University, Guangzhou, Guangdong, 510000, People’s Republic of China; 4Department of Hospital Infection Management, ZhuJiang Hospital of Southern Medical University, Guangzhou, Guangdong, 510000, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Hao Zhou, Department of Hospital Infection Management, ZhuJiang Hospital of Southern Medical University, 253 Industrial Avenue Zhong, Guangzhou, Guangdong, 510280, People’s Republic of China, Email 630304495@qq.com Jun Long, Department of Laboratory Medicine, ZhuJiang Hospital of Southern Medical University, 253 Industrial Avenue Zhong, Guangzhou, Guangdong, 510280, People’s Republic of China, Email longjun327@163.com
Abstract: Neoscytalidium dimidiatum (N. dimidiatum) is a common fungal pathogen that primarily affects plants but can also cause rare infections in humans. In recent years, sporadic cases have been reported worldwide. Here, we report the first case of endophthalmitis in China resulting from a corneal scratch caused by an infected dragon fruit. Exogenous fungal endophthalmitis can be classified into three categories: postoperative, post-traumatic, and keratitis-associated. Currently, there is no standardized antifungal regimen for N. dimidiatum infections, especially for endophthalmitis, where systemic antibiotics have poor intraocular penetration. Successful management often requires surgical interventions such as amputation or drainage. Our case highlights the diagnostic and therapeutic challenges, as well as the poor outcomes associated with N. dimidiatum infections in humans.
Keywords: Neoscytalidium dimidiatum, infection, endophthalmitis, characteristics, treatment