迟发性泡性相关眼内炎与持续气道正压通气
Late-onset bleb-associated endophthalmitis and continuous positive airway pressure.
作者信息
Berg Erich J, Davies John B, Buboltz Mark R, Samuelson Thomas W
机构信息
Clinical Research Department, Minnesota Eye Consultants, P.A. 9801 Dupont Avenue S. #200, Bloomington, MN 55431, USA.
VitreoRetinal Surgery, P.A. 710 East 24th Street #103, Minneapolis, MN 55404, USA.
出版信息
Am J Ophthalmol Case Rep. 2018 Feb 8;10:87-90. doi: 10.1016/j.ajoc.2018.02.007. eCollection 2018 Jun.
PURPOSE
To raise awareness of a possible association between continuous positive airway pressure (CPAP) devices and postoperative bleb-related infection.
OBSERVATIONS
A 57-year old patient on CPAP presented with unilateral bleb-associated endophthalmitis 32 months after routine ExPress Trabeculectomy with mitomycin C. The offending organism, , is a nonmotile and generally non-virulent pathogen which predominates in the normal human respiratory flora.
CONCLUSIONS AND IMPORTANCE
This conceptual report underscores a potential relationship between CPAP use and bleb-associated endophthalmitis. Streptococcal species are the most commonly reported causative organisms in bleb-associated endophthalmitis, and is of particular concern as the most abundant microbe among all human oral flora. A logical risk factor for infection, the CPAP device may inadvertently deliver such organisms to the vulnerable conjunctival filtering bleb.
目的
提高对持续气道正压通气（CPAP）设备与术后泡状相关感染之间可能关联的认识。
观察结果
一名使用CPAP的57岁患者在接受丝裂霉素C辅助的常规ExPress小梁切除术后32个月出现单侧泡状相关眼内炎。致病微生物为[此处原文缺失具体微生物名称]，它是一种无运动能力且通常无毒力的病原体，在正常人类呼吸道菌群中占主导地位。
结论与重要性
本概念性报告强调了使用CPAP与泡状相关眼内炎之间的潜在关系。链球菌属是泡状相关眼内炎中最常报告的致病微生物，而[此处原文缺失具体微生物名称]作为所有人类口腔菌群中最丰富的微生物尤其值得关注。CPAP设备作为一个合乎逻辑的感染风险因素，可能会无意中将此类微生物输送到脆弱的结膜滤过泡。
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