Carruth Bryant P, Wladis Edward J
Department of Ophthalmology, Division of Ophthalmic Plastic Surgery, Lions Eye Institute, Albany Medical College, Slingerlands, NY 12159, USA.
Orbit. 2013 Feb;32(1):39-41. doi: 10.3109/01676830.2012.736598. Epub 2012 Dec 28.
A 22-year-old female with multiple developmental abnormalities stemming from cardiofaciocutaneous syndrome presented with a recurrent orbital abscess 2 years after orbitotomy with drainage of an abscess of presumed hematogenous-origin. During careful intraoperative examination the abscess was seen to directly extend from the lacrimal sac. Cultures were taken and grew Morganella morganii, a Gram negative rod uncommon in ocular and periocular infections. To the author's knowledge, this microorganism has been reported in only one previous case of orbital abscess and underscores the need for organism identification and antibiotic sensitivity analysis in cases of orbital abscess, particularly those with extension from dacryocystitis.
一名22岁患有心脏颜面皮肤综合征导致多种发育异常的女性，在因推测为血源性脓肿进行眶切开引流术后2年，出现复发性眼眶脓肿。在仔细的术中检查中，发现脓肿直接从泪囊延伸。进行了培养，培养出摩根摩根菌，这是一种革兰氏阴性杆菌，在眼部和眼周感染中并不常见。据作者所知，这种微生物此前仅在一例眼眶脓肿病例中被报道，这突出了在眼眶脓肿病例中，尤其是那些由泪囊炎扩展而来的病例中，进行微生物鉴定和抗生素敏感性分析的必要性。
