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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.

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/10116370/3bab0cd9c679/fsoa-09-850-g1.jpg

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