用腔内抗生素治疗 LASIK 皮瓣上的木栓酸 Achromobacter xylosoxidans 角膜炎:一份病例报告

Q3 Medicine
N. Castro Casal, S. Viña Vázquez, S. Romeo Villadóniga
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引用次数: 0

摘要

基质内注射抗生素是一种治疗方法,对于局部抗生素难治的细菌性角膜炎非常有用。我们介绍了一例 44 岁女性的病例,她的激光原位角膜磨镶术(LASIK)角膜瓣内有浸润,并有木质氧化酵母菌生长,她接受了 1 个月的局部头孢他啶治疗。然而,停用抗生素后,情况恶化,同样的病菌又开始生长。重新开始局部治疗后,由于怀疑有病菌存留,决定进行三个周期的腔内头孢他啶注射,最后一次也使用了莫西沙星,效果良好。经过 4 个月的无症状治疗后,目前没有发现复发迹象。该病例证明,在局部用药难治的病例中,腔内注射是非常有用的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Queratitis por Achromobacter xylosoxidans en flap de LASIK tratada con antibióticos intraestromales: A propósito de un caso

Intrastromal antibiotic injections are a type of treatment that can be very useful in bacterial keratitis refractory to topical antibiotics. We present the case of a 44-year-old woman with an infiltrate in a laser in situ keratomileusis (LASIK) flap and growth of Achromobacter xylosoxidans, who was treated with topical ceftazidime for 1 month. However, after discontinuation of the antibiotic, there was a worsening with growth of the same germ. Topical treatment was reintroduced and, due to suspicion of germ reservoir, it was decided to give three cycles of intrastromal ceftazidime injections, the last one also with moxifloxacin, with good results. After 4 months asymptomatic and without treatment at the moment, no signs of recurrence have been observed. This case supports the usefulness of intrastromal injections in refractory cases to the topical medication.

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来源期刊
CiteScore
1.20
自引率
0.00%
发文量
109
审稿时长
78 days
期刊介绍: La revista Archivos de la Sociedad Española de Oftalmología, editada mensualmente por la propia Sociedad, tiene como objetivo publicar trabajos de investigación básica y clínica como artículos originales; casos clínicos, innovaciones técnicas y correlaciones clinicopatológicas en forma de comunicaciones cortas; editoriales; revisiones; cartas al editor; comentarios de libros; información de eventos; noticias personales y anuncios comerciales, así como trabajos de temas históricos y motivos inconográficos relacionados con la Oftalmología. El título abreviado es Arch Soc Esp Oftalmol, y debe ser utilizado en bibliografías, notas a pie de página y referencias bibliográficas.
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