迟发性硬脑膜炎黏质沙雷氏菌巩膜炎在翼状胬肉切除术后的眼内播散。
Late-onset intrascleral dissemination of Stenotrophomonas maltophilia scleritis after pterygium excision.
机构信息
Department of Ophthalmology, Chang Gung Memorial Hospital, Chang Gung University, Kweishan, Taoyuan, Taiwan.
出版信息
Cornea. 2011 Jun;30(6):712-5. doi: 10.1097/ICO.0b013e31820007ed.
PURPOSE
To report a case of pterygium excision-related infectious scleritis with late-onset intrascleral dissemination.
METHODS
Case report.
RESULTS
A 72-year-old female patient was referred for Stenotrophomonas maltophilia scleritis after undergoing pterygium excision 18 years earlier. Surgical debridement and a tectonic corneal patch graft, along with conjunctival flap, were performed to repair the scleral defect after treatment with fortified topical and systemic antibiotics. However, intrascleral dissemination of scleritis occurred 5 months after the initial episode.
CONCLUSIONS
Intrascleral dissemination of S. maltophilia scleritis after pterygium excision might be delayed because of limited invasiveness and inherent resistance to several antibiotics. Long-term follow-up may be needed to protect against the possibility of late-onset intrascleral dissemination.
目的
报告一例翼状胬肉切除相关感染性巩膜炎伴迟发性巩膜内播散。
方法
病例报告。
结果
一名 72 岁女性患者在 18 年前接受翼状胬肉切除术后，因嗜麦芽寡养单胞菌巩膜炎就诊。在使用强化局部和全身抗生素治疗后，进行了手术清创和组织角膜贴片移植以及结膜瓣，以修复巩膜缺损。然而，初次发作后 5 个月发生了巩膜炎的巩膜内播散。
结论
翼状胬肉切除术后嗜麦芽寡养单胞菌巩膜炎的巩膜内播散可能是延迟的，因为其侵袭性有限且对几种抗生素固有耐药。可能需要长期随访以防止迟发性巩膜内播散的可能性。
Zotero 插件