McQuinn Michael, Horswell Bruce B
Resident, Oral and Maxillofacial Surgery Division, National Capital Consortium, Walter Reed National Military Medical Center, Silver Spring, MD.
Clinical Professor of Surgery, Department of Surgery, FACES, Charleston Area Medical Center, Charleston, WV.
J Oral Maxillofac Surg. 2019 Jul;77(7):1414-1417. doi: 10.1016/j.joms.2019.01.049. Epub 2019 Feb 5.
This is the first report of an orbital abscess caused by Gemella bergeri, uncommonly identified in cardiac valvular infections. Through matrix-assisted laser desorption-ionization time-of-flight mass spectrometry (MALDI-TOF MS), microbial identification and speciation resulted in timely identification and appropriate management. Successful management includes accurate microbial identification, incision and drainage, and broad-spectrum antibiotics.
这是首例由伯杰孪生球菌引起的眼眶脓肿报告，该菌在心脏瓣膜感染中罕见被发现。通过基质辅助激光解吸电离飞行时间质谱（MALDI-TOF MS）进行微生物鉴定和分类，实现了及时鉴定和恰当处理。成功的处理措施包括准确的微生物鉴定、切开引流以及使用广谱抗生素。
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