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Cruzado-Sánchez D, Barrios-Borjas DA, Sapaico-Vicuña AR, Tellez WA, Holguín-Ruiz AM. Subretinal abscess due to Candida tropicalis in a patient with acute myeloid leukaemia: Case report. Arch Soc Esp Oftalmol (Engl Ed) 2022; 97:100-103. [PMID: 35152944 DOI: 10.1016/j.oftale.2020.12.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/06/2020] [Accepted: 12/15/2020] [Indexed: 06/14/2023]
Abstract
A 54-year-old female patient with a history of acute myeloid leukaemia and receiving maintenance chemotherapy had a systemic relapse. She also had candidaemia caused by Candida tropicalis. Her blood cultures were negative after receiving antifungal treatment. Later, she had an ophthalmological assessment as part of the protocol, without ocular discomfort. In the fundoscopic examination, a whitish chorioretinal lesion was found in the left eye in relation to subretinal abscess, which correlated with retinal angiography and optical coherence tomography. The patient was treated with systemic antifungals with a favourable resolution of the lesion.
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Affiliation(s)
- D Cruzado-Sánchez
- Servicio de Retina, Servicio de oncología ocular, Instituto Nacional de Enfermedades Neoplásicas (INEN), Lima, Peru.
| | - D A Barrios-Borjas
- Universidad Nacional San Luis Gonzaga de Ica, Sociedad Científica de Estudiantes de Medicina de Ica (SOCEMI), Ica, Peru
| | - A R Sapaico-Vicuña
- Universidad Peruana Cayetano Heredia, Hospital Nacional Arzobispo Loayza, Lima, Peru
| | - W A Tellez
- Sociedad Científica de Estudiantes de Medicina Villarrealinos (SOCEMVI), Universidad nacional Federico Villarreal, Lima, Peru
| | - A M Holguín-Ruiz
- Servicio de infectología, Instituto Nacional de Enfermedades Neoplásicas (INEN), Lima, Peru
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2
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Cruzado-Sánchez D, Barrios-Borjas DA, Sapaico-Vicuña AR, Tellez WA, Holguín-Ruiz AM. Subretinal abscess due to Candida tropicalis in a patient with acute myeloid leukaemia: case report. Arch Soc Esp Oftalmol (Engl Ed) 2021; 97:S0365-6691(21)00027-7. [PMID: 33627240 DOI: 10.1016/j.oftal.2020.12.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/06/2020] [Revised: 12/09/2020] [Accepted: 12/15/2020] [Indexed: 06/12/2023]
Abstract
A 54-year-old female patient with a history of acute myeloid leukaemia and receiving maintenance chemotherapy had a systemic relapse. She also had candidaemia caused by Candida tropicalis. Her blood cultures were negative after receiving antifungal treatment. Later, she had an ophthalmological assessment as part of the protocol, without ocular discomfort. In the fundoscopic examination, a whitish chorioretinal lesion was found in the left eye in relation to subretinal abscess, which correlated with retinal angiography and optical coherence tomography. The patient was treated with systemic antifungals with a favourable resolution of the lesion.
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Affiliation(s)
- D Cruzado-Sánchez
- Servicio de Retina. Servicio de oncología ocular. Instituto Nacional de Enfermedades Neoplásicas (INEN), Lima, Perú.
| | - D A Barrios-Borjas
- Universidad Nacional San Luis Gonzaga de Ica. Sociedad Científica de Estudiantes de Medicina de Ica (SOCEMI), Ica, Perú
| | - A R Sapaico-Vicuña
- Universidad Peruana Cayetano Heredia. Hospital Nacional Arzobispo Loayza, Lima, Perú
| | - W A Tellez
- Sociedad Científica de Estudiantes de Medicina Villarrealinos (SOCEMVI), Universidad nacional Federico Villarreal, Lima, Perú
| | - A M Holguín-Ruiz
- Servicio de infectología. Instituto Nacional de Enfermedades Neoplásicas (INEN), Lima, Perú
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Cruzado-Sanchez D, Saavedra-Mejia LA, Tellez WA, Maquera-Torres G, Serpa-Frias S. Metastatic Intraocular Tumor Due to Colorectal Adenocarcinoma: Case Report and Literature Review. J Ophthalmic Vis Res 2020; 15:565-570. [PMID: 33133448 PMCID: PMC7591836 DOI: 10.18502/jovr.v15i4.7794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2019] [Accepted: 01/13/2020] [Indexed: 11/24/2022] Open
Abstract
Purpose To describe the clinical and histopathological findings of a case of intraocular metastasis due to colorectal adenocarcinoma and to carry out a literature review. Case Report A 64-year-old man with a history of tumor resection due to infiltrating colorectal adenocarcinoma three years previously sought ophthalmological care because of severe ocular pain without response to medical treatment and progressive vision loss in the left eye. On ultrasonographic examination, there was a heterogeneous intraocular choroidal tumor, which occupied approximately 40% of the vitreous cavity, as well as peritumoral serous retinal detachment. The patient underwent left eyeball enucleation. The histopathological diagnosis was metastatic tubular adenocarcinoma involving the retina and choroid that partially infiltrated the sclera and the proximal optic nerve. Conclusion The present case highlights a rare pathological entity associated with variable therapeutic schemes and survival times and poor prognosis in patients with metastatic intraocular tumors due to colorectal adenocarcinoma.
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Affiliation(s)
- Deivy Cruzado-Sanchez
- Ophthalmic Oncology Service, Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru
| | - Luis A Saavedra-Mejia
- Sociedad Científica de Estudiantes de Medicina Villarrealinos, Universidad Nacional Federico Villarreal, Lima, Peru
| | - Walter A Tellez
- Sociedad Científica de Estudiantes de Medicina Villarrealinos, Universidad Nacional Federico Villarreal, Lima, Peru
| | | | - Solon Serpa-Frias
- Ophthalmic Oncology Service, Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru
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Cruzado-Sánchez D, Sánchez-Ortiz J, Peralta CI, Tellez WA, Maquera-Torres G, Serpa-Frías S. Orbital metastasis diagnosed by ultrasound-guided fine-needle aspiration biopsy: Case report of unknown primary site. ACTA ACUST UNITED AC 2019; 94:566-570. [PMID: 31378389 DOI: 10.1016/j.oftal.2019.07.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2019] [Revised: 07/01/2019] [Accepted: 07/02/2019] [Indexed: 11/25/2022]
Abstract
Twenty five percent of orbital metastasis is usually of unknown primary origin and it requires histopathological and immunohistochemical confirmation. The fine-needle aspiration biopsy of the orbit is an alternative procedure to conventional orbitotomy. The case is presented of a 60 year-old woman with a right orbit tumour mass and neoplastic lesions in her brain and cranium. As an incidental finding, she had a thrombus in her left atrium, and so an orbitotomy procedure was ruled out. An ultrasound-guided fine-needle aspiration biopsy was performed instead with rapid on-site evaluation of biopsy samples. These showed malignant cells of a lung adenocarcinoma, which was confirmed with immunohistochemistry and chest diagnostic images. In conclusion, biopsy samples obtained by fine-needle aspiration biopsy, together with cytopathological and immunohistological analysis, enabled orbital metastasis to be identified in the case described, and showed that fine-needle aspiration biopsy is a safe, effective, and minimally invasive alternative.
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Affiliation(s)
- D Cruzado-Sánchez
- Servicio de Oncología Ocular, Instituto Nacional de Enfermedades Neoplásicas (INEN), Lima, Perú.
| | - J Sánchez-Ortiz
- Servicio de Oftalmología, Hospital Nacional Cayetano Heredia, Lima, Perú
| | - C I Peralta
- Sociedad Científica de Estudiantes de Medicina Villarrealinos (SOCEMVI), Universidad Nacional Federico Villarreal, Lima, Perú
| | - W A Tellez
- Sociedad Científica de Estudiantes de Medicina Villarrealinos (SOCEMVI), Universidad Nacional Federico Villarreal, Lima, Perú
| | - G Maquera-Torres
- Servicio de Patología, Instituto Nacional de Enfermedades Neoplásicas (INEN), Lima, Perú
| | - S Serpa-Frías
- Servicio de Oncología Ocular, Instituto Nacional de Enfermedades Neoplásicas (INEN), Lima, Perú
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Cruzado-Sánchez D, Tellez WA, Barriga-Salaverry G, Luglio-Valdivieso H, Luján-Najar S. Wide-field angiography for diagnosis and follow-up of Eales disease: a case series. Arq Bras Oftalmol 2019; 82:339-344. [PMID: 31116318 DOI: 10.5935/0004-2749.20190066] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2018] [Accepted: 12/29/2018] [Indexed: 11/20/2022] Open
Abstract
Wide-field angiography enables assessing peripheral areas with better quality and gives greater deep focus, which improves the image periphery. Some studies have proposed the usefulness of these angiographic systems in inflammatory diseases of the retina. However, few studies have evaluated this technique in Eales disease. We present a case series in which 5 eyes of 3 patients with Eales disease were evaluated by using retinal fluorescein angiography with 30º, 50º, and 150º lenses in a laser-scanning ophthalmoscope. These cases highlight the usefulness of wide-field fluorescein angiography in the diagnosis and follow-up of peripheral ischemic retinal areas in Eales disease, which enables better follow-up than possible with conventional fluorescein angiography images.
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Affiliation(s)
| | - Walter A Tellez
- Sociedad Científica de Estudiantes de Medicina Villarrealinos, Universidad Nacional Federico Villarreal, Lima, Peru
| | - Guillermo Barriga-Salaverry
- Department of Ophthalmology, Hospital Nacional Arzobispo Loayza, Universidad Peruana Cayetano Heredia, Lima, Peru
| | | | - Silvio Luján-Najar
- Retina and Vitreous Research Unit, Ophthalmic Center Macula D&T, Lima, Peru
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Cruzado-Sanchez D, Mucching-Toscano S, Tellez WA, Lujan S, Luglio-Valdivieso H. Recurrent vitreous hemorrhage secondary to retinal vessel avulsion. Indian J Ophthalmol 2018; 66:706-708. [PMID: 29676325 PMCID: PMC5939173 DOI: 10.4103/ijo.ijo_940_17] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
Spontaneous vitreous hemorrhage is a rare entity, present in 7 out of 100,000 inhabitants. It is associated with different pathologies; however, it is rarely reported to be caused by retinal vessel avulsion syndrome. In the present manuscript, we report a case of avulsion of retinal vessels associated with recurrent vitreous hemorrhage managed, at first, by photocoagulation, but due to the several recurrence of bleeding, the patient went into surgical management.
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Affiliation(s)
| | - Sergio Mucching-Toscano
- Scientific Society of Medical Students of Federico Villarreal National University, Lima, Peru
| | - Walter A Tellez
- Scientific Society of Medical Students of Federico Villarreal National University, Lima, Peru
| | - Silvio Lujan
- Ophthalmologic Center Macula D & T, Retina and Vitreous Research Unit, Lima, Peru
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Parodi JF, Nieto-Gutierrez W, Tellez WA, Ventocilla-Gonzales I, Runzer-Colmenares FM, Taype-Rondan A. [Gait speed and the appearance of neurocognitive disorders in older adults: Results of a Peruvian cohort]. Rev Esp Geriatr Gerontol 2018; 53:73-76. [PMID: 28890141 DOI: 10.1016/j.regg.2017.08.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2016] [Revised: 07/26/2017] [Accepted: 08/02/2017] [Indexed: 06/07/2023]
Abstract
INTRODUCTION The prevention and management of neurocognitive disorders (NCD) among older adults can be improved by early identification of risk factors such as walking speed. The objective of the study is to assess the association between gait speed and NCD onset in a population of Peruvian older adults. MATERIAL AND METHODS Cohort conducted in older adults who attended the geriatrics service of Naval Medical Center (Callao, Peru). During the baseline assessment, participants' gait speed was recorded. Subsequently, participants were followed-up annually for 5 years, with a mean of 21 months. NCD onset was defined as the occurrence of a score ≤24 points on the Mini Mental State Examination (screening test) during follow-up. The hazard ratios (HR) and their 95% confidence intervals (95% CI) were calculated using Cox regression. RESULTS The study included 657 participants, with a mean age of 73.4±9.2 (SD) years, of whom 47.0% were male, 47.8% had a gait speed <0.8 m/s, and 20.1% developed NCD during the follow up. It was found that older adults who had gait speed <0.8 m/s at baseline were more likely to develop NCD than those who had a gait speed ≥0.8 m/s (adjusted HR=1.41, 95% CI=1.34-1.47). CONCLUSION A longitudinal association was found between decreased gait speed and NCD onset, suggesting that gait speed could be useful to identify patients at risk of NCD onset.
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Affiliation(s)
- José F Parodi
- Centro de Investigación del Envejecimiento (CIEN), Facultad de Medicina Humana, Universidad de San Martín de Porres, Lima, Perú
| | - Wendy Nieto-Gutierrez
- Sociedad Científica de Estudiantes de Medicina de la Universidad de San Martín de Porres, Universidad de San Martín de Porres, Lima, Perú
| | - Walter A Tellez
- Sociedad Científica de Estudiantes de Medicina Villarrealinos, Universidad Nacional Federico Villareal, Lima, Perú
| | | | - Fernando M Runzer-Colmenares
- Centro de Investigación del Envejecimiento (CIEN), Facultad de Medicina Humana, Universidad de San Martín de Porres, Lima, Perú; Servicio de Geriatría, Centro Médico Naval, Callao, Perú
| | - Alvaro Taype-Rondan
- Centro de Investigación del Envejecimiento (CIEN), Facultad de Medicina Humana, Universidad de San Martín de Porres, Lima, Perú.
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Cruzado-Sánchez D, Salas-Diaz S, Tellez WA, Maquera-Torres G, Serpa-Frias S. [Primary orbital cystic tumor: A case of hydatidosis in a child]. Rev Peru Med Exp Salud Publica 2017; 34:560-563. [PMID: 29267783 DOI: 10.17843/rpmesp.2017.343.2809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2017] [Accepted: 08/10/2017] [Indexed: 11/06/2022] Open
Abstract
Primary orbital cystic tumors caused by Echinococcus granulosus are rare. As this parasite is endemic in Peru, we report the case of a 10-year-old girl from a rural area of Huancavelica, who presented with progressive and irreducible axial proptosis of the right eye and loss of vision. Orbital tomographic images demonstrated a tumor mass with a cystic appearance. Serologic tests were negative. The patient underwent surgical resection, and histopathologic analysis revealed anhistic membranes, corresponding to hydatid cysts. During one year of follow-up, no evidence of local or systemic recurrence was observed. In conclusion, orbital hydatidosis should be considered in the differential diagnosis of a cystic orbital tumor in pediatric patients, especially if the patient is from an endemic area.
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Affiliation(s)
| | - Sandra Salas-Diaz
- Sociedad Científica de Estudiantes de Medicina Villarrealinos (SOCEMVI), Universidad Nacional Federico Villarreal. Lima, Perú
| | - Walter A Tellez
- Sociedad Científica de Estudiantes de Medicina Villarrealinos (SOCEMVI), Universidad Nacional Federico Villarreal. Lima, Perú
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Cruzado-Sánchez D, Salas-Diaz M, Tellez WA, Alvarez-Matos SE, Serpa-Frías S. Interferon alpha-2a as alternative treatment for conjunctival squamous cell carcinoma. ACTA ACUST UNITED AC 2017; 92:539-542. [PMID: 28522115 DOI: 10.1016/j.oftal.2017.03.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2016] [Revised: 03/06/2017] [Accepted: 03/13/2017] [Indexed: 10/19/2022]
Abstract
CASE REPORT A 35 year-old male patient with a history of HIV infection characterized by progressive tumour growth in bulbar conjunctiva of the left eye, corresponding to conjunctival squamous cell carcinoma that responded to treatment with interferon alpha-2a. DISCUSSION Interferon alpha-2b has been used at conjunctival level as a topical immunomodulator treatment, with complete remission of epithelial neoplasms being observed. However, there have not been any previous publications on the use of interferon alpha-2a, which differs from interferon alpha-2b in a single amino acid, for the treatment of conjunctival squamous cell carcinoma.
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Affiliation(s)
- D Cruzado-Sánchez
- Servicio de Oftalmología Oncológica, Departamento de Cabeza y Cuello, Instituto Nacional de Enfermedades Neoplásicas (INEN), Perú.
| | | | - W A Tellez
- Sociedad Científica de Estudiantes de Medicina Villarrealinos (SOCEMVI), Universidad Nacional Federico Villarreal (UNFV), Perú
| | - S E Alvarez-Matos
- Sociedad Científica de Estudiantes de Medicina Villarrealinos (SOCEMVI), Universidad Nacional Federico Villarreal (UNFV), Perú
| | - S Serpa-Frías
- Servicio de Oftalmología Oncológica, Departamento de Cabeza y Cuello, Instituto Nacional de Enfermedades Neoplásicas (INEN), Perú
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