科氏柠檬酸杆菌：玻璃体切除术后硅油相关眼内炎的一个病因
Citrobacter koseri: A Cause of Silicone Oil Related Endophthalmitis after Post Pars Plana Vitrectomy.
作者信息
Sborgia Luigi, Albano Valeria, Sborgia Giancarlo, Boscia Francesco, Alessio Giovanni
机构信息
Department of Basic Medical Sciences, Neurosciences and Sensory Organs, Eye Clinic, University of Bari, Piazza Giulio Cesare 11, 70124 Bari, Italy.
Department of Basic Medical Sciences, Neurosciences and Sensory Organs, Eye Clinic, Piazza Giulio Cesare 11, 70124 Bari, Italy.
出版信息
Case Rep Ophthalmol Med. 2023 Mar 18;2023:3494521. doi: 10.1155/2023/3494521. eCollection 2023.
PURPOSE
We present a rare case of culture-positive endophthalmitis in a postvitrectomy silicone oil-filled eye. A 64-year-old male patient presented to our ophthalmology emergency room with representative symptoms of acute endophthalmitis. He underwent a plana vitrectomy oil-filled tamponade previously. Preoperative and postoperative findings of the case were reported.
RESULTS
Culture tests of aqueous, silicone oil, and vitreous taps were positive for .
CONCLUSIONS
Culture-positive endophthalmitis in a silicone oil-filled eye has very rarely been in the literature. The described cases were caused by acute inflammatory reactions to silicone oil and were culture-negative. The postvitrectomy culture-positive endophthalmitis caused by is a very rare condition, and its management is not so smooth. Approaching with silicone oil removal, intraoperative intravitreal antibiotic injection, and silicone oil reinjection was performed in our case with good outcomes.
目的
我们报告一例玻璃体切除术后硅油填充眼发生培养阳性眼内炎的罕见病例。一名64岁男性患者因急性眼内炎的典型症状就诊于我们的眼科急诊室。他之前接受过扁平部玻璃体切除联合硅油填充术。报告了该病例的术前和术后检查结果。
结果
房水、硅油和玻璃体穿刺液的培养检测结果为阳性。
结论
硅油填充眼发生培养阳性眼内炎在文献中极为罕见。已报道的病例是由对硅油的急性炎症反应引起的，且培养结果为阴性。由[未提及具体病原体]引起的玻璃体切除术后培养阳性眼内炎是一种非常罕见的情况，其治疗并不顺利。我们的病例采用了硅油取出、术中玻璃体腔内注射抗生素以及硅油重新注入的方法，取得了良好的效果。
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