耐药放射根瘤菌眼内炎的成功治疗1例报告。

IF 1.4 4区 医学 Q3 OPHTHALMOLOGY
Po-Ying Wu, Horng-Jiun Wu
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引用次数: 0

摘要

目的:报告一例白内障术后由耐头孢他啶放射根瘤菌引起的眼内炎,并及时行玻璃体切除术和玻璃体内注射左氧氟沙星成功治疗。病例报告:一位73岁的健康男性接受了左眼超声乳化术和后房型人工晶状体植入术。术后一天的眼部检查未见具体发现。然而,在术后第6天,他出现左眼疼痛和红肿。术后第8天在外院确诊为眼内炎,给予头孢他啶和万古霉素静脉注射,并于当日紧急转诊至我院。术后第8天及时行玻璃体切除及前房冲洗,培养出耐头孢他啶放射根瘤菌,对左氧氟沙星敏感。白内障术后第13、18天反复静脉注射左氧氟沙星(500 mcg/0.1 ml)。术后6个月,左眼矫正距离视力稳定在20/33,OE保持稳定。结论:早期玻璃体切除术和玻璃体培养是治疗耐药放射根瘤菌术后眼内炎的有效方法。左氧氟沙星IVI虽然罕见,但在本病例中证明对头孢他啶耐药和左氧氟沙星敏感的病原体有效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Successful management of drug-resistant rhizobium radiobacter endophthalmitis: A case report.

Purpose: To report a unique case of post-cataract surgery endophthalmitis caused by Ceftazidime-resistant Rhizobium radiobacter, successfully managed with timely vitrectomy and intravitreal Levofloxacin.

Case report: A healthy 73-year-old man underwent phacoemulsification and posterior chamber intraocular lens implantation in his left eye. Postoperative ocular examination (OE) one day after the surgery revealed no specific findings. However, on postoperative day 6, he presented with a painful and red left eye. Diagnosed with postoperative endophthalmitis on day 8 at another hospital, he received IVI of Ceftazidime and Vancomycin before being urgently referred to our hospital on the same day. Early vitrectomy and anterior chamber irrigation were performed timely when he arrived on day 8, with cultures identifying Ceftazidime-resistant Rhizobium radiobacter, sensitive to Levofloxacin. Repeated IVI of Levofloxacin (500 mcg/0.1 ml) ensued on post-cataract operative days 13 and 18. Six months post-cataract surgery, the corrected distance visual acuity of the left eye stabilized at 20/33, and OE remained stable.

Conclusion: Early vitrectomy and vitreous culture prove effective in managing postoperative endophthalmitis in drug-resistant Rhizobium radiobacter. IVI of Levofloxacin, though rare, proved to be effective in treating Ceftazidime-resistant and Levofloxacin-sensitive pathogens in our case.

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来源期刊
CiteScore
3.60
自引率
0.00%
发文量
372
审稿时长
3-8 weeks
期刊介绍: The European Journal of Ophthalmology was founded in 1991 and is issued in print bi-monthly. It publishes only peer-reviewed original research reporting clinical observations and laboratory investigations with clinical relevance focusing on new diagnostic and surgical techniques, instrument and therapy updates, results of clinical trials and research findings.
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