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由痤疮丙酸杆菌(以前称为痤疮丙酸杆菌)引起的巩膜扣带感染具有非典型、惰性的病程。

A SCLERAL BUCKLE INFECTION CAUSED BY CUTIBACTERIUM ACNES (FORMERLY PROPIONIBACTERIUM ACNES ) AN ATYPICAL, INDOLENT COURSE.

机构信息

Department of Ophthalmology, Meir Medical Center, Kfar Saba, Israel; and.

Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel.

出版信息

Retin Cases Brief Rep. 2024 Jul 1;18(4):496-498. doi: 10.1097/ICB.0000000000001427.

Abstract

PURPOSE

To report a case of atypical, indolent presentation of scleral buckle infection, caused by Cutibacterium acnes (formerly known as Propionibacterium acnes ).

METHODS

Observational case report.

RESULTS

A 44-year-old healthy woman with a history of scleral buckling procedure for retinal detachment repair 16 years before presentation was admitted with pain and redness in her left eye for 6 weeks. Conjunctival hyperemia and vascular congestion were noted over the scleral buckle in a circular manner without signs of exposure. After removal of the scleral buckle, culture analysis revealed C. acnes. Systemic amoxicillin was administrated. Over a six-month follow-up, the retina remained attached.

CONCLUSION

Cutibacterium acnes , known to be associated with chronic postoperative endophthalmitis after cataract surgery, may also lead to scleral buckle infection with an indolent, chronic course.

摘要

目的

报告一例由痤疮丙酸杆菌(以前称为丙酸杆菌属)引起的巩膜扣带感染的非典型、惰性表现。

方法

观察性病例报告。

结果

一名 44 岁健康女性,16 年前因视网膜脱离修复行巩膜扣带术,现因左眼疼痛和发红 6 周入院。在巩膜扣带处呈圆形出现结膜充血和血管充血,无暴露迹象。在取出巩膜扣带后,培养分析显示痤疮丙酸杆菌。给予全身阿莫西林治疗。在 6 个月的随访中,视网膜保持在位。

结论

痤疮丙酸杆菌已知与白内障手术后慢性术后眼内炎有关,也可能导致巩膜扣带感染,呈慢性、惰性病程。

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