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术后外源性眼内炎:一例罕见病例报告及文献综述

Postoperative exogenous endophthalmitis caused by a rare case report and literature review.

作者信息

Al-Dwairi Rami A, Aleshawi Abdelwahab, Shannak Zaki, Al-Shorman Wafa, Beiruti Seren Al, Sharie Ahmed Al

机构信息

Department of Special Surgery, Division of Ophthalmology, Faculty of Medicine, Jordan University of Science & Technology, Irbid, 22110, Jordan.

出版信息

Future Sci OA. 2023 Apr 4;9(4):FSO850. doi: 10.2144/fsoa-2022-0076. eCollection 2023 Apr.

DOI:10.2144/fsoa-2022-0076
PMID:37090490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10116370/
Abstract

AIM

We report a rare case of postoperative endophthalmitis caused by .

CASE DESCRIPTION

The diagnosis of postoperative endophthalmitis in our patient was established based on the clinical signs of hypopyon along with vitritis. The patient underwent pars plana vitrectomy, anterior chamber washout, intraocular lens removal, and intravitreal antibiotics (amikacin and vancomycin) injection. The culture of both the vitreous sample and the intraocular lens, revealed a heavy growth of .

CONCLUSION

is an unusual microorganism to cause postoperative endophthalmitis. A major breach in the sterilization may explain this infection. Proper sterilization and prophylactic measures are crucial to avoid this disastrous complication.

摘要

目的

我们报告一例由……引起的术后眼内炎罕见病例。

病例描述

我们患者的术后眼内炎诊断基于前房积脓和玻璃体炎的临床体征得以确立。患者接受了玻璃体切割术、前房冲洗、人工晶状体摘除以及玻璃体腔内注射抗生素(阿米卡星和万古霉素)。玻璃体样本和人工晶状体的培养均显示……大量生长。

结论

……是引起术后眼内炎的一种不常见微生物。灭菌过程中的重大失误可能解释了此次感染。适当的灭菌和预防措施对于避免这种灾难性并发症至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca5e/10116370/fa700d8e0637/fsoa-09-850-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca5e/10116370/3bab0cd9c679/fsoa-09-850-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca5e/10116370/fa700d8e0637/fsoa-09-850-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca5e/10116370/3bab0cd9c679/fsoa-09-850-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca5e/10116370/fa700d8e0637/fsoa-09-850-g2.jpg

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本文引用的文献

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Incidence, Prophylaxis and Prognosis of Acute Postoperative Endophthalmitis After Cataract Surgery: A Multicenter Retrospective Analysis in Northern China from 2013 to 2019.白内障手术后急性术后眼内炎的发病率、预防措施及预后:2013年至2019年中国北方多中心回顾性分析
Infect Drug Resist. 2022 Jul 27;15:4047-4058. doi: 10.2147/IDR.S332997. eCollection 2022.
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ENDOPHTHALMITIS IN OPHTHALMOLOGICAL REFERRAL CENTRE IN COLOMBIA: AETIOLOGY AND MICROBIAL RESISTANCE.哥伦比亚眼科转诊中心的眼内炎:病因和微生物耐药性。
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Ten-Year Analysis of Pathogenic Factors and Etiological Characteristics of Endophthalmitis from a Tertiary Eye Center in North China.
华北某三级眼科中心眼内炎致病因素及病因特征的十年分析
Infect Drug Resist. 2022 Jun 10;15:3005-3012. doi: 10.2147/IDR.S367222. eCollection 2022.
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Panophthalmitis after Pecking by a Great Egret ().一只大白鹭啄伤后发生的全眼球炎( )。
Case Rep Ophthalmol. 2020 Aug 11;11(2):466-472. doi: 10.1159/000509340. eCollection 2020 May-Aug.
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Antibiotic resistance profile in eye infections in a reference centre in Floridablanca, Colombia.哥伦比亚弗洛里达布兰卡一家参考中心眼部感染的抗生素耐药情况
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Endophthalmitis Reduction with Intracameral Moxifloxacin Prophylaxis: Analysis of 600 000 Surgeries.眼内炎预防用术中前房内莫西沙星:60 万例手术分析。
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