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社区获得性耐甲氧西林金黄色葡萄球菌引起的婴儿眼眶脓肿。

Infantile orbital abscess caused by community-acquired methicillin-resistant Staphylococcus aureus.

作者信息

Chung Wen-Chia, Lin Hung-Jung, Foo Ning-Ping, Chen Kuo-Tai

机构信息

Emergency Department, Chi-Mei Medical Center, 901 Chung-Hwa Road, Yung Kang, Tainan, 710, Taiwan.

出版信息

J Ophthalmic Inflamm Infect. 2011 Dec;1(4):181-3. doi: 10.1007/s12348-011-0030-1. Epub 2011 Jul 26.

Abstract

An orbital abscess is a severe infectious disease of the eye and carries the risks of visual loss and intracranial complications. Timely treatment in an infant is crucial in order to save sight and can prevent unnecessary morbidity and mortality. We report a case of an orbital abscess in an infant who underwent surgical drainage and medical management. The unique clinical and radiological features are presented in this report. In addition, methicillin-resistant Staphylococcus aureus was isolated from the pus culture. The case reminds us that, before obtaining the result of the pus culture, with the emergence of community-acquired methicillin-resistant S. aureus, physicians should consider empirical antibiotic therapy, which is effective against methicillin-resistant S. aureus.

摘要

眼眶脓肿是一种严重的眼部感染性疾病,存在视力丧失和颅内并发症的风险。对于婴儿而言,及时治疗对于挽救视力至关重要,并且可以预防不必要的发病和死亡。我们报告一例婴儿眼眶脓肿病例,该婴儿接受了手术引流和药物治疗。本报告展示了其独特的临床和放射学特征。此外,从脓液培养物中分离出耐甲氧西林金黄色葡萄球菌。该病例提醒我们,在获得脓液培养结果之前,随着社区获得性耐甲氧西林金黄色葡萄球菌的出现,医生应考虑针对耐甲氧西林金黄色葡萄球菌有效的经验性抗生素治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ea6/3290344/b4852fb15bdc/12348_2011_30_Fig1_HTML.jpg

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