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伴有自发性结膜下脓肿的细菌性结膜炎

Bacterial Conjunctivitis Accompanying Spontaneous Subconjunctival Abscess.

作者信息

Irgat Saadet Gultekin, Ozcura Fatih

机构信息

Department of Ophthalmology, Kutahya Health Sciences University Faculty of Medicine, Kutahya,Turkey.

出版信息

Beyoglu Eye J. 2019 Dec 27;4(3):210-212. doi: 10.14744/bej.2019.72691. eCollection 2019.

DOI:10.14744/bej.2019.72691
PMID:35187461
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8842063/
Abstract

Subconjunctival abscess is a rare form of ocular infections. Subconjunctival abscesses often develop in the eyes with previous surgery or trauma. It is extremely rare in patients without surgery or trauma. In this study, we aimed to present a rare case of subconjunctival abscesses associated with spontaneous bacterial conjunctivitis. The patient was admitted to the hospital with complaints of redness, swelling and burning in two eyes. He said he used antibiotic drops for about a week, but his complaints did not decline. A subconjunctival abscess was detected in the right eye. There was no history of previous ocular surgery and trauma. Abscess drainage and subconjunctival antibiotic injection were performed. Oral and topical antibiotics were prescribed. There was no growth in culture. The third week was a complete recovery. In conclusion, spontaneous subconjunctival abscess formation should be considered in the differential diagnosis in unhealed eyes after bacterial conjunctivitis.

摘要

结膜下脓肿是一种罕见的眼部感染形式。结膜下脓肿通常在既往有手术或外伤史的眼睛中发生。在没有手术或外伤的患者中极为罕见。在本研究中,我们旨在呈现一例与自发性细菌性结膜炎相关的结膜下脓肿罕见病例。该患者因双眼发红、肿胀和烧灼感入院。他说他使用抗生素滴眼液约一周,但症状并未减轻。右眼检测到结膜下脓肿。既往无眼部手术和外伤史。进行了脓肿引流和结膜下抗生素注射。开具了口服和局部用抗生素。培养无细菌生长。第三周完全康复。总之,在细菌性结膜炎后未愈合的眼睛的鉴别诊断中应考虑自发性结膜下脓肿的形成。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1be3/8842063/2f4488be9690/BEJ-4-210-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1be3/8842063/5fc3b381d07d/BEJ-4-210-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1be3/8842063/85e934a17d06/BEJ-4-210-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1be3/8842063/2f4488be9690/BEJ-4-210-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1be3/8842063/5fc3b381d07d/BEJ-4-210-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1be3/8842063/85e934a17d06/BEJ-4-210-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1be3/8842063/2f4488be9690/BEJ-4-210-g003.jpg

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Graefes Arch Clin Exp Ophthalmol. 1988;226(4):341-5. doi: 10.1007/BF02172964.
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Haemophilus influenzae adheres to and enters cultured human epithelial cells.流感嗜血杆菌可黏附并进入培养的人上皮细胞。
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Expression of the Opc protein correlates with invasion of epithelial and endothelial cells by Neisseria meningitidis.Opc蛋白的表达与脑膜炎奈瑟菌对上皮细胞和内皮细胞的侵袭相关。
Mol Microbiol. 1992 Oct;6(19):2785-95. doi: 10.1111/j.1365-2958.1992.tb01458.x.