Díaz Valle D, Alós Cortés J I, Arteaga Sánchez A, Toledano Fernández N, Poza Morales Y, Díaz-Valle T
Hospital General de Móstoles, Madrid, España.
Arch Soc Esp Oftalmol. 2002 Jul;77(7):397-9.
PURPOSE/METHOD: To report a clinical case of a 21-year old male with a severe corneal abscess due to Pseudomonas aeruginosa refractory to intensive treatment with topical Ciprofloxacin.
RESULTS/CONCLUSIONS: A corneal scrapping performed after a wash-out period showed Pseudomonas aeruginosa specimens, which were not sensitive to any of the fluoroquinolones tested. A fortified topical treatment with Ceftazidime healed the corneal abscess. Nowadays, the possibility of resistance to fluoroquinolones should be kept in mind, and we recommend treatment guided by the results of a microbiological study in severe and sight-threatening cases.
目的/方法:报告一例21岁男性因铜绿假单胞菌导致严重角膜脓肿,经局部使用环丙沙星强化治疗无效的临床病例。
结果/结论:冲洗期后进行的角膜刮片显示为铜绿假单胞菌标本,对所检测的任何氟喹诺酮类药物均不敏感。用头孢他啶进行强化局部治疗治愈了角膜脓肿。如今,应牢记对氟喹诺酮类药物耐药的可能性,对于严重且威胁视力的病例,我们建议根据微生物学研究结果进行治疗。