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小儿年龄组罕见的嗜麦芽窄食单胞菌内源性眼内炎病例。

A rare case of Stenotrophomonas maltophilia endogenous endophthalmitis in pediatric age group.

作者信息

Jain Tanya, Muralidhar Alankrita, Gandhi Arpan

机构信息

Vitreoretina and Uvea Services, Dr Shroff's Charity Eye Hospital, New Delhi, India.

Vitreoretina Services, Vivekananda Netralaya, Dehradun, India.

出版信息

J Ophthalmic Inflamm Infect. 2024 Dec 27;14(1):68. doi: 10.1186/s12348-024-00431-z.

DOI:10.1186/s12348-024-00431-z
PMID:39729178
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11680509/
Abstract

BACKGROUND

We report a unique case of Stenotrophomonas maltophilia-related pediatric endogenous endophthalmitis.

CASE PRESENTATION

A 10-year-old male presented with redness and loss of vision in his right eye for two weeks. Clinical examination and ultrasound features were suggestive of endophthalmitis, most likely endogenous due to the absence of a history of trauma or intraocular intervention. Following vitrectomy and appropriate intravitreal antibiotics, the vision improved to 20/80. Vitreous culture revealed a gram-negative bacillus Stenotrophomonas maltophilia.

CONCLUSION

Timely recognition of this pathogen and management as per antibiotic sensitivity can help salvage functional vision in this condition.

摘要

背景

我们报告了一例与嗜麦芽窄食单胞菌相关的儿童内源性眼内炎的独特病例。

病例介绍

一名10岁男性因右眼发红和视力丧失两周前来就诊。临床检查和超声特征提示眼内炎，由于无外伤或眼内干预史，很可能为内源性。玻璃体切除并给予适当的玻璃体内抗生素治疗后，视力提高到20/80。玻璃体培养显示革兰氏阴性杆菌嗜麦芽窄食单胞菌。

结论

及时识别该病原体并根据抗生素敏感性进行处理有助于在此种情况下挽救功能性视力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1794/11680509/b919132c29ea/12348_2024_431_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1794/11680509/8cbd95e82605/12348_2024_431_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1794/11680509/aba7c7c9db06/12348_2024_431_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1794/11680509/24e4137a2783/12348_2024_431_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1794/11680509/c64987273a18/12348_2024_431_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1794/11680509/b919132c29ea/12348_2024_431_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1794/11680509/8cbd95e82605/12348_2024_431_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1794/11680509/aba7c7c9db06/12348_2024_431_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1794/11680509/24e4137a2783/12348_2024_431_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1794/11680509/c64987273a18/12348_2024_431_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1794/11680509/b919132c29ea/12348_2024_431_Fig5_HTML.jpg

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