Hospital Sant Pau, 08025 Barcelona, Spain.
Cornea. 2009 Oct;28(9):1065-6. doi: 10.1097/ICO.0b013e3181971213.
The purpose of this study was to report a case of necrotizing scleritis resulting from Pseudomonas aeruginosa with no corneal infiltrate.
A 75-year-old man presented with pain and redness in his left eye accompanied by fever of 3 days' duration. He was receiving chemotherapy for hepatic metastasis of an unknown origin. He presented a necrotizing scleritis with no corneal infiltrate. Scleral cell culture and blood culture were positive for P. aeruginosa. He was treated with oral imipenem and topical fortified ceftazidime. The response was good, but a scleral patch graft was needed to stabilize scleral thinning.
This is the first case report of infectious scleritis in the context of P. aeruginosa sepsis in the absence of corneal infiltration.
本研究旨在报告一例由绿脓杆菌引起的坏死性巩膜炎，且无角膜浸润。
一名 75 岁男性因左眼疼痛和发红伴发热 3 天就诊。他因不明来源的肝转移正在接受化疗。他表现为无角膜浸润的坏死性巩膜炎。巩膜细胞培养和血培养均为绿脓杆菌阳性。他接受了口服亚胺培南和局部头孢他啶强化治疗。治疗反应良好，但需要进行巩膜贴片移植以稳定巩膜变薄。
这是首例在无角膜浸润的情况下，由绿脓杆菌败血症引起的感染性巩膜炎的病例报告。
