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病例报告:感染所致眼眶蜂窝织炎继发角膜穿孔。

Case Report: Corneal perforation secondary to orbital cellulitis caused by infection.

作者信息

Dong Yuli, Tian Mingxia

机构信息

Clinical Insitute, Jining Medical University, Jining, Shandong, China.

Department of Ophthalmology, Jining No. 1 People's Hospital, No. 6 Jiankang Road, Rencheng District, Jining, Shandong, China.

出版信息

Eur J Ophthalmol. 2023 May;33(3):NP66-NP69. doi: 10.1177/11206721221085210. Epub 2022 Apr 4.

Abstract

INTRODUCTION

This report described a rare case of corneal perforation secondary to orbital cellulitis caused by infection. To the best of our knowledge, only six cases of infection have been reported. This case report suggested that infection was contagious and potentially life threatening. The report emphasized the value of managing infections early to avoid serious consequences.

CASE DESCRIPTION

A patient with orbital cellulitis, which progressed to corneal perforation was admitted to the hospital for right facial swelling, pain, and decreased vision in his right eye. infection was found after bacterial culture of pus puncture. After aggressive anti-infection and surgical treatment, the infection was eliminated, and the patient was discharged. However, the patient had sustained permanent vision loss.

CONCLUSIONS

This case suggested the potential risk of corneal perforation and orbital cellulitis caused by infection in humans. The specific biological changes and mode of action of are unclear and need further investigation.

摘要

引言

本报告描述了一例罕见的因感染导致眼眶蜂窝织炎继发角膜穿孔的病例。据我们所知,仅报告过6例感染病例。本病例报告表明感染具有传染性且可能危及生命。该报告强调了早期处理感染以避免严重后果的重要性。

病例描述

一名眼眶蜂窝织炎进展为角膜穿孔的患者因右侧面部肿胀、疼痛及右眼视力下降入院。经脓液穿刺细菌培养发现感染。经过积极的抗感染及手术治疗,感染得以消除,患者出院。然而,患者视力永久性丧失。

结论

本病例提示了人类感染导致角膜穿孔和眼眶蜂窝织炎的潜在风险。其具体生物学变化及作用方式尚不清楚,需要进一步研究。

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