受健康的社会决定因素影响的细菌性角膜炎并发症：一例报告
Complications of Bacterial Keratitis Impacted by Social Determinants of Health: A Case Report.
作者信息
Diederich Taylor, Velagapudi Mary, Ring Hope
机构信息
Department of Emergency Medicine, University of Kansas Medical Center, University of Kansas Health System, Kansas City, Kansas.
出版信息
Clin Pract Cases Emerg Med. 2024 Feb;8(1):9-13. doi: 10.5811/cpcem.1594.
INTRODUCTION
The emergency department commonly evaluates eye pain and vision loss. Typically, these conditions can be managed outpatient; however, delays can lead to advanced pathology.
CASE REPORT
A 48-year-old homeless male presented with left-eye vision loss and pain. His exam revealed monocular decreased visual acuity, corneal ulcer, and hypopyon. The patient was diagnosed with bacterial keratitis and admitted for treatment but left against medical advice. He returned and was admitted for further treatment but was lost to follow-up thereafter.
CONCLUSION
Our case features complicated bacterial keratitis with several treatment interruptions, demonstrating how healthcare disparities contribute to potentially preventable advanced pathology.
引言
急诊科经常会评估眼痛和视力丧失的情况。通常，这些病症可以在门诊进行处理；然而，延误可能会导致病情进展。
病例报告
一名48岁的无家可归男性因左眼视力丧失和疼痛前来就诊。检查发现其单眼视力下降、角膜溃疡和前房积脓。该患者被诊断为细菌性角膜炎并入院治疗，但随后违反医嘱自行出院。他再次返回并入院接受进一步治疗，但此后失去了随访。
结论
我们的病例表现为复杂的细菌性角膜炎且伴有多次治疗中断，这表明医疗保健差距如何导致可能可预防的病情进展。
Zotero 插件