Sepsis de repetición en un paciente con gammapatía monoclonal de significado incierto

Marrero, Reinaldo; Socas, M. M. Alonso; Rodríguez, Juana Oramas; Álvarez, B. Alonso; López, Norberto Batista

doi:10.4321/s0212-71992006000900015

An. Med. Interna (Madrid)

2006

DOI: 10.4321/s0212-71992006000900015

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Sepsis de repetición en un paciente con gammapatía monoclonal de significado incierto

Reinaldo Marrero

M. M. Alonso Socas

Juana Oramas Rodríguez

et al.

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2010

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Aspergillus fumigatus Scleritis Associated with Monoclonal Gammopathy of Undetermined Significance

Kim

et al. 2010

Korean J Ophthalmol

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A 68-year-old woman presented with pain in her left eye. Necrosis with calcium plaques was observed on the medial part of the sclera. Aspergillus fumigatus was isolated from the culture of the necrotic area. On systemic work-up including serum and urine electrophoresis studies, the serum monoclonal protein of immunoglobulin G was detected. The patient was diagnosed with monoclonal gammopathy of undetermined significance and fungal scleritis. Despite intensive treatment with topical and oral antifungal agents, scleral inflammation and ulceration progressed, and scleral perforation and endophthalmitis developed. Debridement, antifungal irrigation, and tectonic scleral grafting were performed. The patient underwent a combined pars plana vitrectomy with an intravitreal injection of an antifungal agent. However, scleral and intraocular inflammation progressed, and the eye was enucleated. Aspergillus fumigatus was isolated from the cultures of the eviscerated materials. Giemsa staining of the excised sclera showed numerous fungal hyphae.

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Aspergillus fumigatus Scleritis Associated with Monoclonal Gammopathy of Undetermined Significance

Kim

et al. 2010

Korean J Ophthalmol

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Sepsis de repetición en un paciente con gammapatía monoclonal de significado incierto

Cited by 1 publication

References 3 publications

Aspergillus fumigatus Scleritis Associated with Monoclonal Gammopathy of Undetermined Significance

Aspergillus fumigatus Scleritis Associated with Monoclonal Gammopathy of Undetermined Significance

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