铜绿假单胞菌角膜炎中的锯齿状边缘
Serrated Margins in Pseudomonas aeruginosa Keratitis.
作者信息
Ishikawa Eri, Suzuki Takashi, Yamaguchi Satoshi, Inoue Tomoyuki, Uno Toshihiko, Ohashi Yuichi
机构信息
Department of Ophthalmology, Ehime University School of Medicine, Toon, Japan.
出版信息
Case Rep Ophthalmol. 2013 Jun 6;4(2):12-5. doi: 10.1159/000353226. Print 2013 May.
PURPOSE
To describe 3 cases of culture-positive P. aeruginosa keratitis, who presented with a focus having serrated margins.
METHODS
Observational case report.
RESULTS
Three cases wearing contact lenses complained of symptoms such as pain, redness, and a decrease in vision. Slit-lamp biomicroscopic examination revealed a focus with serrated margins in all cases. The patients underwent corneal scraping for cultures, which confirmed the presence of P. aeruginosa. All 3 patients were treated with a combination of fluoroquinolone and tobramycin, 6-8 times per day. Corneal defects and infiltration disappeared within 2 weeks after initiating the therapy.
CONCLUSION
Serrated margins may also be a characteristic initial presentation of P. aeruginosa keratitis.
目的
描述3例培养阳性的铜绿假单胞菌角膜炎病例，这些病例表现为具有锯齿状边缘的病灶。
方法
观察性病例报告。
结果
3例佩戴隐形眼镜的患者主诉有疼痛、眼红和视力下降等症状。裂隙灯生物显微镜检查显示所有病例均有锯齿状边缘的病灶。患者接受角膜刮片培养，证实存在铜绿假单胞菌。所有3例患者均接受氟喹诺酮和妥布霉素联合治疗，每天6 - 8次。开始治疗后2周内角膜缺损和浸润消失。
结论
锯齿状边缘也可能是铜绿假单胞菌角膜炎的特征性初始表现。
Zotero 插件