Bascom Palmer Eye Institute, Miami, Florida, USA.
J Cataract Refract Surg. 2010 Feb;36(2):340-3. doi: 10.1016/j.jcrs.2009.07.050.
A 45-year-old woman developed a corneal infiltrate 14 months after laser in situ keratomileusis (LASIK) enhancement in the left eye. The LASIK flap was lifted, scraped, and irrigated with fortified vancomycin and ceftazidime. Scraped samples were cultured and grew Brevundimonas vesicularis. The patient remained on topical ceftazidime until improvement was noted and was then switched to topical levofloxacin. The keratitis resolved on antibiotic agents with strong gram-negative coverage and a steroid. To our knowledge, this is the first report of a B vesicularis ocular infection.
一位 45 岁女性左眼 LASIK 增强术后 14 个月时出现角膜浸润。LASIK 瓣被掀起、刮除并用强化万古霉素和头孢他啶冲洗。刮取样本进行培养，结果为产囊性支气管败血杆菌生长。患者继续局部使用头孢他啶，直至症状改善，随后换用左氧氟沙星。在具有较强革兰氏阴性覆盖和类固醇的抗生素药物治疗下，角膜炎得到缓解。据我们所知，这是首例产囊性支气管败血杆菌眼部感染的报告。
