Bilyk Jurij R
Oculoplastic and Orbital Surgery Service, Wills Eye Institute, Philadelphia, Pennsylvania 19107, USA.
Curr Opin Ophthalmol. 2007 Sep;18(5):414-23. doi: 10.1097/ICU.0b013e3282dd979f.
The aim of this article is to acquaint the clinician with advances in the diagnosis and management of periocular cellulitis and to alert physicians to emerging pathogens.
The most important, recent infectious disease entity to consider is community-acquired methicillin-resistant Staphylococcus aureus, which is emerging as a significant problem across the country. The potential devastation caused by necrotizing fasciitis is also reviewed, since this diagnosis is easily missed early in its course. A variety of less common and frankly atypical pathogens is presented to remind the clinician that, on occasion, the hoofbeats are indeed a zebra's.
Periocular cellulitis remains an important and common entity in ophthalmology. The emergence of new pathogens and the resistance to conventional treatment by others are a cause for concern and require an understanding of management strategies.
本文旨在使临床医生熟悉眼周蜂窝织炎诊断和管理方面的进展，并提醒医生注意新出现的病原体。
近期最重要的需考虑的感染性疾病是社区获得性耐甲氧西林金黄色葡萄球菌，它在全国正成为一个重大问题。坏死性筋膜炎可能造成的破坏也进行了综述，因为该诊断在病程早期很容易被漏诊。还介绍了多种不太常见且确实不典型的病原体，以提醒临床医生，有时候，马蹄声确实是斑马发出的。
眼周蜂窝织炎在眼科仍然是一个重要且常见的病症。新病原体的出现以及其他病原体对传统治疗的耐药性令人担忧，需要了解管理策略。
