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早产儿铜绿假单胞菌引起的内源性眼内炎:病例报告

Endogenous endophthalmitis caused by Pseudomonas aeruginosa in a preterm infant: a case report.

作者信息

Figueiredo Sofia, João Anabela, Mateus Manuela, Varandas Rosário, Ferraz Leonor

机构信息

Department of Pediatrics - Neonatal Unit, Centro Hospitalar Vila Nova de Gaia/Espinho, EPE, Rua Conceição Fernandes, 4434-502 Vila Nova de Gaia, Portugal.

出版信息

Cases J. 2009 Dec 10;2:9304. doi: 10.1186/1757-1626-2-9304.

DOI:10.1186/1757-1626-2-9304
PMID:20062628
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2803968/
Abstract

Endophthalmitis is an infection of the vitreous or aqueous humor of the eye. Although it rarely occurs in the neonatal period it has been previously diagnosed in preterm infants.Endogenous endophthalmitis is when eye infection is secondary to septicemia and represent 20% of the cases of endophthalmitis. Pseudomonas aeruginosa is responsible for more than 75% of invasive neonatal eye infections. The course of pseudomonal endophthalmitis is typically fulminant, developing over hours even in early diagnosis. For survivors, the usual result is blindness of the affected eye.We report the case of a preterm infant who developed septicemia and was later diagnosed as having a pseudomonas endophthalmitis.

摘要

眼内炎是眼睛玻璃体或房水的感染。虽然它在新生儿期很少发生,但此前已在早产儿中被诊断出。内源性眼内炎是指眼部感染继发于败血症,占眼内炎病例的20%。铜绿假单胞菌导致超过75%的侵袭性新生儿眼部感染。铜绿假单胞菌性眼内炎的病程通常很凶险,即使早期诊断,也会在数小时内发展。对于幸存者来说,通常的结果是患眼失明。我们报告了一例早产儿发生败血症,后来被诊断为铜绿假单胞菌性眼内炎的病例。

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本文引用的文献

1
Endogenous group B streptococcal endophthalmitis in a preterm infant.一名早产儿的内源性B族链球菌性眼内炎
J Perinatol. 2007 Jun;27(6):392-4. doi: 10.1038/sj.jp.7211685.
2
Pseudomonas aeruginosa endophthalmitis in a preterm infant.一名早产儿患铜绿假单胞菌性眼内炎。
J AAPOS. 2005 Jun;9(3):288-9. doi: 10.1016/j.jaapos.2005.01.012.
3
Endophthalmitis caused by Pseudomonas aeruginosa.铜绿假单胞菌引起的眼内炎。
Ophthalmology. 2003 Sep;110(9):1714-7. doi: 10.1016/S0161-6420(03)00572-4.
4
Endogenous bacterial endophthalmitis: a 17-year prospective series and review of 267 reported cases.内源性细菌性眼内炎:一项为期17年的前瞻性研究及对267例报告病例的综述
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Bilateral endogenous endophthalmitis as a complication of late-onset sepsis in a premature infant.
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6
Exogenous Pseudomonas endophthalmitis: a cause of lens enucleation.外源性假单胞菌性眼内炎:晶状体摘除的一个原因。
Arch Dis Child Fetal Neonatal Ed. 2002 May;86(3):F204-6. doi: 10.1136/fn.86.3.f204.
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Orbital and periorbital infections.
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Ophthalmic Pseudomonas infection in infancy.婴儿期眼部假单胞菌感染
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Endogenous endophthalmitis.内源性眼内炎
Intensive Care Med. 2000 Nov;26(11):1714. doi: 10.1007/s001340000682.
10
Pseudomonas-induced bilateral endophthalmitis with corneal perforation in a neonate.新生儿中由假单胞菌引起的双侧眼内炎伴角膜穿孔
J AAPOS. 1999 Jun;3(3):183-4. doi: 10.1016/s1091-8531(99)70064-9.