延迟的细菌内皮质炎和内炎在白内障手术后的11年
Elisabeth Poon1, Alexander Poon2, Penelope McKelvie3
1Medical School, Monash University, Melbourne, VIC, Australia.
Case reports in ophthalmology
|October 30, 2023
概括
由Cutibacterium acnes引起的延迟感染性内炎,在白内障手术多年后可能发生. 这一案例凸显了在具有挑战性的诊断中考虑慢性感染的重要性,即使有微妙的症状.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 微生物学 微生物学
背景情况:
- 感染性内眼炎是眼内外科手术后罕见但严重的并发症.
- 慢性内炎,通常是由缓慢生长的细菌引起的,如Cutibacterium acnes,由于发病时间延迟, presents诊断挑战.
- 杆菌 (Cutibacterium acnes) 是慢性眼内感染中已知的病原体,需要特定的培养条件.
研究的目的:
- 报告一个延迟,低度内炎的病例,在白内障手术后11年出现.
- 突出与慢性Cutibacterium acnes endophthalmitis相关的诊断困难和临床特征.
- 强调在术后眼科中考虑潜在感染的重要性.
主要方法:
- 回溯案例报告. 回溯案例报告.
- 德塞梅特膜活检的微生物培养.
- 临床检查和眼部发现的文档.
主要成果:
- 在之前三次微生物试验失败后,Cutibacterium acnes和Staphylococcus warneri被确定.
- 临床症状包括虹膜,内皮和囊囊袋中的白色颗粒.
- 患者患上了由内皮功能障碍引起的二次状角质病变.
结论:
- 昆虫细菌可以潜伏十多年,然后才导致内炎.
- 内皮干扰和角膜可能呈现低度传染性内耳炎的迹象.
- 临床医生应在患有延迟术后症状的患者中保持对慢性内炎的高度怀疑指数.
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