Chan Corey D, Zhang Lihan, Pandit Ranjeet J, Lewis Christopher J
The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.
Eplasty. 2023 Jan 20;23:e6. eCollection 2023.
The authors report the rare, but potentially blinding, complication of bilateral endogenous bacterial endophthalmitis observed in a 35-year-old man during his admission to a regional burns center following a burn injury from an electronic cigarette device. This complication has been reported only twice in burn patients following extensive and life-threatening burn injuries. This patient underwent surgical debridement and split-thickness skin grafting of non-major burns as per standard of practice. In the postoperative period, the patient developed bilateral eye pain, redness, and photophobia, and was subsequently diagnosed with bilateral endogenous bacterial endophthalmitis secondary to a infection of the burn wound. After ophthalmology input and treatment with systemic and intravitreal antibiotics, he made a full recovery from both his burns and endophthalmitis.
This report describes a rare, sight-threatening complication that arose from an infected burn wound in an otherwise healthy patient. It highlights the importance of prompt diagnosis and treatment to preserve vision and the need for burn surgeons to have a high level of awareness of this entity, even in the context of minor burns.
作者报告了一名35岁男性在因电子烟装置烧伤而入住地区烧伤中心期间发生的罕见但可能致盲的双侧内源性细菌性眼内炎并发症。这种并发症仅在严重且危及生命的烧伤患者中报告过两次。该患者按照标准做法接受了非大面积烧伤的手术清创和中厚皮片移植。术后，患者出现双侧眼痛、眼红和畏光，随后被诊断为继发于烧伤创面感染的双侧内源性细菌性眼内炎。在眼科会诊并接受全身和玻璃体内抗生素治疗后，他的烧伤和眼内炎均完全康复。
本报告描述了一名原本健康的患者因感染的烧伤创面引发的罕见且威胁视力的并发症。它强调了及时诊断和治疗以保护视力的重要性，以及烧伤外科医生即使在小面积烧伤情况下也需高度警惕这一病症的必要性。
