Chou Shih-Yu, Tsai Chieh-Chih, Kau Shu-Ching, Kau Hui-Chuan, Hsu Wen-Ming
Department of Ophthalmology, Taipei Veterans General Hospital, Taiwan, ROC.
J Chin Med Assoc. 2004 Jan;67(1):51-3.
Orbital cellulitis caused by Aeromonas hydrophila developed in a 73-year-old male with a history of myelodysplastic syndrome. He was admitted because of fever, general malaise, pain as well as periorbital swelling in the right eye. Four days later, a yellowish pustule with purulent material was noted over right lower eyelid. Aeromonas hydrophila was isolated from the discharge. After administering intravenous cefuroxime 1,500 mg every 8 hours and topical ofloxacin eye oint, his symptoms subsided gradually. We present the first known case of orbital cellulitis from Aeromonas hydrophila in a patient with myelodysplastic syndrome. In patients with myelodysplastic syndrome, Aeromonas hydrophila should be listed as an important pathogen in any soft tissue infection including eyelid infection. Culture and adequate antimicrobial therapy are recommended, because rapid worsening may result in orbital cellulitis or even septicemia in patients with suppressed immune system.
一名患有骨髓增生异常综合征的73岁男性发生了由嗜水气单胞菌引起的眼眶蜂窝织炎。他因发热、全身不适、疼痛以及右眼眶周肿胀而入院。四天后，右下眼睑出现一个带有脓性物质的黄色脓疱。从分泌物中分离出嗜水气单胞菌。每8小时静脉注射1500毫克头孢呋辛并局部使用氧氟沙星眼膏后，他的症状逐渐消退。我们报告了首例已知的患有骨髓增生异常综合征的患者因嗜水气单胞菌引起眼眶蜂窝织炎的病例。在患有骨髓增生异常综合征的患者中，嗜水气单胞菌应被列为包括眼睑感染在内的任何软组织感染的重要病原体。建议进行培养和充分的抗菌治疗，因为免疫系统受抑制的患者病情迅速恶化可能导致眼眶蜂窝织炎甚至败血症。
