Post-traumatic endophthalmitis with Moraxella in a child.

GMS ophthalmology cases Pub Date : 2021-01-28 eCollection Date: 2021-01-01 DOI:10.3205/oc000174
Upma Awasthi, Rohini Grover, Chetan Videkar, Abhishek Varshney
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Abstract

Purpose: To describe a case of post-traumatic endophthalmitis with Moraxella in a child. Methods: Case report of an 11-year-old boy who presented with redness and profound visual loss in his left eye for 3 days following trauma with a sewing needle. Detailed ophthalmic examination showed hand movement vision, corneal edema with mobile hypopyon, as well as dot and clump echoes in Ultrasound B-scan. The clinical diagnosis of acute post-traumatic endophthalmitis was made. Result: The patient underwent pars plana vitrectomy and vitreous biopsy, and was given intravitreal antibiotics (vancomycin 1 mg/0.1 ml, ceftazidime 2.25 mg/0.1 ml, voriconazole 0.1 mg/0.1 ml). Non-pigmented small colonies growth was observed on culture plates which were identified as Moraxella. Conclusion: To date, no case report has been published regarding post-traumatic endophthalmitis due to Moraxella species in the pediatric age group.

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儿童创伤后眼内炎伴莫拉菌。
目的:报告一例儿童创伤后眼内炎伴莫拉菌。方法:报告1例11岁男童,因缝衣针伤后左眼出现红肿及严重视力丧失3天。详细眼科检查显示手部运动视力,角膜水肿伴活动低视,b超可见点、团状回声。对急性外伤性眼内炎进行临床诊断。结果:患者行玻璃体部切除术和玻璃体活检,并给予玻璃体内抗生素(万古霉素1 mg/0.1 ml,头孢他啶2.25 mg/0.1 ml,伏立康唑0.1 mg/0.1 ml)。在培养板上观察到无色素的小菌落生长,鉴定为莫拉菌。结论:迄今为止,没有病例报告发表关于创伤后眼内炎由于莫拉菌种在儿童年龄组。
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