Rashid Noor-Khairul, Zam Zarifah, Mdnoor Siti-Suraya, Siti-Raihan Ishak, Azhany Yaakub
Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan 16150, Malaysia.
Case Rep Ophthalmol Med. 2012;2012:362369. doi: 10.1155/2012/362369. Epub 2012 Apr 23.
A 3-year-old boy presented with history of trauma to the left eye after he accidentally injured his eye with a broom stick made up from coconut skewers. There was history of cats as their pets but not dogs. Ocular examination revealed left superonasal conjunctival laceration and scleral perforation with prolapsed vitreous. Fundus examination showed minimal vitreous haemorrhage and flat retina. Conjunctiva swab at the wound site was sent for gram staining, culture, and sensitivity. He underwent scleral suturing, vitreous tap, and intravitreal injection of Ceftazidime and Amikacin. Vitreous tap was sent for gram stained, culture and sensitivity. Postoperatively, he was started empirically on IV Ciprofloxacin 160 mg BD, Guttae Ciprofloxacin, and Guttae Ceftazidime. Conjunctiva swab grew Pasteurella canis which was sensitive to all Beta lactams, Ciprofloxacin, Chloramphenicol, and Aminoglycoside. Post-operative was uneventful, absent signs of endophthalmitis or orbital cellulitis.
一名3岁男孩因不慎被椰子竹签制成的扫帚棍伤到左眼而前来就诊。其家中养有猫作为宠物,但没有养狗。眼部检查发现左眼鼻上侧结膜裂伤和巩膜穿孔,伴有玻璃体脱出。眼底检查显示有少量玻璃体出血,视网膜扁平。伤口部位的结膜拭子送去做革兰氏染色、培养及药敏试验。他接受了巩膜缝合、玻璃体穿刺,并玻璃体内注射头孢他啶和阿米卡星。玻璃体穿刺液送去做革兰氏染色、培养及药敏试验。术后,经验性地给他静脉注射环丙沙星160毫克,每日两次,同时使用环丙沙星滴眼液和头孢他啶滴眼液。结膜拭子培养出犬巴斯德菌,该菌对所有β-内酰胺类药物、环丙沙星、氯霉素和氨基糖苷类药物敏感。术后情况平稳,没有眼内炎或眼眶蜂窝织炎的迹象。