美国一例感染的第二次报告：结节性巩膜炎伴体外亚胺培南耐药。
Second report of a infection in the United States: nodular scleritis with in vitro imipenem resistance.
作者信息
Gonzalez Andres, Jennings Eric, Vaziri Sasha, Yachnis Anthony T, Kubal Anup
机构信息
College of Medicine, University of Florida, Gainesville.
Department of Ophthalmology, University of Florida, Gainesville.
出版信息
Digit J Ophthalmol. 2016 Aug 10;22(3):62-66. doi: 10.5693/djo.02.2016.01.003. eCollection 2016.
Abstract
We describe the case of a 52-year-old woman with scleritis caused by an imipenem-resistant strain of . The patient presented with pain, redness, and nodules on the sclera of 8 weeks' duration. A Gram stain from a nodule on the superonasal aspect of the globe was initially negative. After empiric treatment for an autoimmune etiology, cytopathology confirmed filamentous bacteria. A presumptive diagnosis of scleritis was made, and medical management was based on a literature review on treatments for infections. Cultures returned confirming . Antibiotic sensitivity testing confirmed the correct initial management. The patient's scleritis resolved with a good visual outcome.
摘要
我们描述了一例由耐亚胺培南菌株引起巩膜炎的52岁女性病例。患者出现疼痛、眼红及巩膜结节，持续8周。最初，取自眼球鼻上侧一个结节的革兰氏染色呈阴性。在针对自身免疫病因进行经验性治疗后，细胞病理学检查证实为丝状细菌。作出了假单胞菌性巩膜炎的初步诊断，药物治疗基于对假单胞菌感染治疗的文献综述。培养结果回报证实为假单胞菌。抗生素敏感性试验证实了最初的正确治疗。患者的巩膜炎得以缓解，视力预后良好。
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J Ophthalmic Inflamm Infect. 2012 Mar;2(1):7-11. doi: 10.1007/s12348-011-0043-9. Epub 2011 Oct 8.
5
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J Clin Microbiol. 2011 Jul;49(7):2748-50. doi: 10.1128/JCM.00613-11. Epub 2011 May 18.
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