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新生儿眼眶脓肿

Neonatal orbital abscess.

作者信息

Gogri Pratik Y, Misra Somen L, Misra Neeta S, Gidwani Hitesh V, Bhandari Akshay J

机构信息

Department of Ophthalmology, Pravara Institute of Medical Sciences, Loni, Maharashtra, India.

Department of Internal Medicine, UPMC Mercy, Pennsylvania, Pittsburgh, USA.

出版信息

Oman J Ophthalmol. 2015 May-Aug;8(2):128-31. doi: 10.4103/0974-620X.159274.

Abstract

Orbital abscess generally occurs in older children but it can rarely affect infants and neonates too. We report a case of community acquired methicillin resistant staphylococcus aureus (CA-MRSA) neonatal orbital abscess in a 12-day-old term female neonate with no significant past medical history or risk factor for developing the infection. The case highlights the importance of consideration of CA-MRSA as a causative agent of neonatal orbital cellulitis even in a neonate without any obvious predisposing condition. Prompt initiation of appropriate medical therapy against MRSA and surgical drainage of the abscess prevents life threatening complications of orbital cellulitis which more often tend to be fatal in neonates.

摘要

眶周脓肿一般发生于大龄儿童,但也极少会影响婴儿和新生儿。我们报告一例社区获得性耐甲氧西林金黄色葡萄球菌(CA-MRSA)引起的新生儿眶周脓肿病例,患儿为一名12日龄足月儿女婴,既往无重大病史或感染危险因素。该病例强调,即使是没有任何明显易感因素的新生儿,也需考虑CA-MRSA作为新生儿眶周蜂窝织炎病原体的可能性。针对MRSA及时开始适当的药物治疗并对脓肿进行外科引流,可预防眶周蜂窝织炎危及生命的并发症,此类并发症在新生儿中往往更易致命。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cac6/4640041/dc9e78cf6da6/OJO-8-128-g001.jpg

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