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因穿透性眼外伤继发的拜氏梭菌性眼内炎。

Clostridium beijerinckii endophthalmitis secondary to penetrating ocular injury.

作者信息

Newton P J, Gosbell I B, Munro R

机构信息

Department of Microbiology and Infectious Diseases, South Western Area Pathology Service, Liverpool, Sydney.

出版信息

Pathology. 1999 Aug;31(3):261-3. doi: 10.1080/003130299105098.

DOI:10.1080/003130299105098
PMID:10503274
Abstract

Endophthalmitis occurs in five to 10% of injuries involving intraocular foreign bodies. A 52 year old abattoir worker sustained such penetrating ocular trauma and developed fulminant endophthalmitis. Clostridium beijerinckii was isolated from the vitreous humor. Intravitreal vancomycin and amikacin and intravenous penicillin and clindamycin were given. Despite therapeutic vancomycin and amikacin levels in the vitreous, vision was lost and enucleation was ultimately required.

摘要

眼内炎发生于5%至10%的涉及眼内异物的损伤中。一名52岁的屠宰场工人遭受了这种穿透性眼外伤,并发展为暴发性眼内炎。从玻璃体液中分离出拜氏梭菌。给予玻璃体内注射万古霉素和阿米卡星以及静脉注射青霉素和克林霉素。尽管玻璃体内万古霉素和阿米卡星达到了治疗水平,但视力仍丧失,最终需要摘除眼球。

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