由蜡样芽孢杆菌和沙眼衣原体引起的术后眼内炎。
Postoperative endophthalmitis caused by Bacillus cereus and Chlamydia trachomatis.
作者信息
Altiparmak Ugur E, Ozer Pinar A, Ozkuyumcu Cumhur, Us Ayşe D, Aslan Bekir S, Duman Sunay
机构信息
Department of Ophthalmology, Ankara Training and Research Hospital, and Department of Microbiology, Hacettepe University, Ankara, Turkey.
出版信息
J Cataract Refract Surg. 2007 Jul;33(7):1284-7. doi: 10.1016/j.jcrs.2007.03.047.
PURPOSE
To describe the clinical manifestations and outcomes in 4 patients with endophthalmitis caused by Bacillus cereus and Chlamydia trachomatis.
SETTING
Department of Ophthalmology, Ankara Training and Research Hospital, Ankara, Turkey.
METHODS
Four patients who had cataract extraction and intraocular lens implantation with phacoemulsification at a secondary eye-care center presented with endophthalmitis. Cultures and direct fluorescein assay (DFA) were performed on vitreous aspirates from all patients.
RESULTS
Cultures were positive for B cereus and DFAs were positive for C trachomatis in all patients. Despite timely intervention, at the end of follow-up, 1 patient had 20/200 visual acuity and another, counting fingers at 3 m. Phthisis bulbi developed in the 2 other patients.
CONCLUSION
The course of infection with B cereus and C trachomatis poses a potential threat, especially because of the limited data on treatment of endophthalmitis secondary to C trachomatis.
目的
描述4例由蜡样芽孢杆菌和沙眼衣原体引起的眼内炎患者的临床表现及转归。
背景
土耳其安卡拉安卡拉培训与研究医院眼科。
方法
在一家二级眼科护理中心接受白内障摘除及超声乳化人工晶状体植入术的4例患者发生了眼内炎。对所有患者的玻璃体抽吸物进行培养及直接荧光素测定（DFA）。
结果
所有患者培养结果显示蜡样芽孢杆菌阳性，DFA结果显示沙眼衣原体阳性。尽管进行了及时干预，但随访结束时，1例患者视力为20/200，另1例患者在3米处能数指。另外2例患者发生了眼球痨。
结论
蜡样芽孢杆菌和沙眼衣原体感染病程具有潜在威胁，尤其是关于沙眼衣原体所致继发性眼内炎的治疗数据有限。
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