由嗜水气单胞菌引起的慢性人工晶状体眼内炎流行：连续9例临床病例的发现与处理
An epidemic of chronic pseudophakic endophthalmitis due to Ochrobactrum anthropi: clinical findings and managements of nine consecutive cases.
作者信息
Song Seung, Ahn Jae Kyoun, Lee Gwang Hoon, Park Yeoung Geol
机构信息
Department of Ophthalmology, Chonnam National University Medical School, Gwangju, Korea.
出版信息
Ocul Immunol Inflamm. 2007 Nov-Dec;15(6):429-34. doi: 10.1080/09273940701798546.
PURPOSE
To report an epidemic of O. anthropi pseudophakic endophthalmitis.
METHODS
The medical records of nine patients with culture-proven O. anthropi endophthalmitis were reviewed.
RESULTS
The presenting features were compatible to chronic endophthalmitis. Two patients showed coinfections with P. acnes. Antibiotics sensitivity test revealed susceptibility to quinolones. Pars plana vitrectomy (PPV) with partial capsulectomy (PC) cured infections in seven patients without coinfection of P. acnes. Final visual acuity was 20/40 or better in five patients.
CONCLUSIONS
O. anthropi should be considered in cases with chronic pseudophakic endophthalmitis. PPV with PC should be the initial therapeutic option for O. anthropi endophthalmitis.
目的
报告一起人型嗜盐碱杆菌所致的人工晶状体眼内炎疫情。
方法
回顾了9例经培养证实为人型嗜盐碱杆菌眼内炎患者的病历。
结果
临床表现符合慢性眼内炎。2例患者合并痤疮丙酸杆菌感染。抗生素敏感性试验显示对喹诺酮类药物敏感。7例无痤疮丙酸杆菌合并感染的患者行玻璃体切割联合部分晶状体囊切除术治愈感染。5例患者最终视力达到20/40或更好。
结论
对于慢性人工晶状体眼内炎病例应考虑人型嗜盐碱杆菌感染。玻璃体切割联合部分晶状体囊切除术应作为人型嗜盐碱杆菌眼内炎的初始治疗选择。
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