Braun M, Jonas J B, Schönherr U, Naumann G O
Department of Ophthalmology, Friedrich-Alexander-University Erlangen-Nürnberg, Germany.
Am J Ophthalmol. 1996 Aug;122(2):272-3. doi: 10.1016/s0002-9394(14)72025-2.
To treat a case of Ochrobactrum anthropi endophthalmitis after uneventful cataract surgery.
A 66-year-old patient in good general health underwent uncomplicated cataract surgery in his right eye. Seven weeks later, pars plana vitrectomy with removal of the intraocular lens became necessary because of progressive low-grade endophthalmitis resistant to topical and systemic erythromycin, cephalosporins, aminoglycosides, and colistin.
Microbiologic examination of the vitreous biopsy, capsule, and anterior chamber fluid disclosed O. anthropi, a nonfermentative gram-negative bacillus sensitive to imipenem, amikacin, ciprofloxacin, and vancomycin.
Ochrobactrum anthropi and its natural resistance against many antibiotics should be considered in the treatment of low-grade endophthalmitis after uneventful cataract surgery.
治疗一例白内障手术后发生的嗜水气单胞菌性眼内炎。
一名66岁身体健康的患者右眼接受了无并发症的白内障手术。七周后，由于对局部和全身使用的红霉素、头孢菌素、氨基糖苷类和黏菌素耐药的进行性轻度眼内炎，有必要进行玻璃体切割术并取出人工晶状体。
玻璃体活检、晶状体囊膜和前房液的微生物学检查发现嗜水气单胞菌，这是一种对亚胺培南、阿米卡星、环丙沙星和万古霉素敏感的非发酵革兰氏阴性杆菌。
在治疗白内障手术后发生的轻度眼内炎时，应考虑嗜水气单胞菌及其对多种抗生素的天然耐药性。
