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猫咬伤后多杀巴斯德菌性眼内炎

Pasteurella multocida endophthalmitis after a cat bite.

作者信息

Yokoyama T, Hara S, Funakubo H, Sato N

出版信息

Ophthalmic Surg. 1987 Jul;18(7):520-2.

PMID:3498138
Abstract

We treated a patient with Pasteurella multocida endophthalmitis associated with a retinal detachment resulting from a cat bite. To our knowledge, endophthalmitis from an animal bite has not been described previously. Organisms were directly inoculated from a perforated wound through the globe. The patient was vigorously treated with intensive systemic antimicrobial chemotherapy and pars plana vitrectomy. The inflammation subsided after repeated vitrectomies. A subsequent retinal detachment was treated with fluid-gas exchange and 360 scleral buckling with a silicone implant. Eight months after surgery the visual acuity was 40/200.

摘要

我们治疗了一名患有多杀巴斯德菌性眼内炎的患者,该眼内炎与猫咬伤导致的视网膜脱离有关。据我们所知,此前尚未有动物咬伤引起眼内炎的报道。病原体通过眼球穿孔伤口直接接种。患者接受了强化全身抗菌化疗和平部玻璃体切除术的积极治疗。经过反复玻璃体切除术后炎症消退。随后的视网膜脱离采用液气交换和用硅胶植入物进行360度巩膜扣带术治疗。术后八个月视力为40/200。

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