Altaie Rasha, Fahy Gerard T, Cormican Martin
Department of Ophthalmology, University College Hospital Galway, Galway, Republic of Ireland.
Cornea. 2006 Aug;25(7):849-50. doi: 10.1097/01.ico.0000230251.19847.3a.
The purpose of this case report is to demonstrate the need for identification of the offending pathogen in bacterial keratitis to guide appropriate treatment.
Case report.
We report a case of Listeria monocytogenes keratitis in a young healthy adult that failed to respond to standard empirical therapy for bacterial keratitis but was treated successfully with topical ampicillin, chloramphenicol, and systemic amoxicillin.
This case demonstrates the need for identification of the offending pathogen to guide appropriate treatment. It also demonstrates discrepancy between in vitro sensitivity and clinical response.
本病例报告的目的是证明在细菌性角膜炎中识别致病病原体以指导恰当治疗的必要性。
病例报告。
我们报告一例年轻健康成年人患单核细胞增生李斯特菌角膜炎的病例，该病例对细菌性角膜炎的标准经验性治疗无反应，但局部应用氨苄西林、氯霉素及全身应用阿莫西林治疗成功。
本病例证明了识别致病病原体以指导恰当治疗的必要性。它还证明了体外敏感性与临床反应之间的差异。
