类鼻疽伯克霍尔德菌致波士顿 1 型角膜假体眼炎 1 例
Ochrobactrum anthropi Keratitis in a Boston Type 1 Keratoprosthesis Recipient.
机构信息
Massachusetts Eye and Ear, Department of Ophthalmology, Harvard Medical School, Boston, MA.
出版信息
Cornea. 2021 May 1;40(5):662-663. doi: 10.1097/ICO.0000000000002571.
PURPOSE
To report a case of Ochrobactrum anthropi keratitis in an eye with a Boston type 1 keratoprosthesis.
METHODS
This is a case report and review of the literature.
RESULTS
A 78-year-old man with a history of implantation of a Boston type 1 keratoprosthesis in the left eye presented for a routine follow-up with no acute complaints. In the left eye, visual acuity was 20/60 and slit-lamp examination revealed a 1.5-mm inferotemporal corneal infiltrate adjacent to the optic stem. Corneal cultures grew abundant O. anthropi. After 7 weeks of topical antimicrobial therapy and placement of a temporary tarsorrhaphy, the keratitis resolved.
CONCLUSIONS
Ochrobactrum anthropi is an organism associated with indwelling medical devices and can be pathogenic in eyes with implanted keratoprostheses.
目的
报告一例波士顿 1 型角膜假体眼的奧克霍伯氏菌角膜炎。
方法
这是一例病例报告并对文献进行了回顾。
结果
一名 78 岁男性，左眼曾植入波士顿 1 型角膜假体，因无急性主诉进行常规随访。左眼视力为 20/60，裂隙灯检查显示 1.5mm 下颞侧角膜浸润，紧邻视轴。角膜培养物大量生长奧克霍伯氏菌。经过 7 周的局部抗菌治疗和临时睑裂缝合后，角膜炎得到缓解。
结论
奧克霍伯氏菌是一种与留置医疗设备相关的病原体，可导致植入角膜假体的眼部发生感染。
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