一种罕见的孤立内源性大肠杆菌泛:一个病例报告
Nadhirah Ahmad Fauzi1, Abdul-Hadi Rosli1, Aidila Jesmin Jabbari1
1Ophthalmology, Kulliyyah of Medicine, International Islamic University Malaysia, Kuantan, MYS.
Cureus
|November 29, 2023
概括
及时治疗对于拯救眼睛免受严重的眼睛感染 - - 泛眼炎的危害至关重要. 这一案例突出显示,在糖尿病患者中,通过内和静脉注射抗生素,成功挽救了患有大肠杆菌泛的眼球.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 内分泌学 在内分泌学.
背景情况:
- 泛眼炎是一种严重的眼内感染,具有高视力损失和全球损失 (内脏) 的高风险.
- 内源性全眼炎通常是由系统性感染引起的,尿路感染是常见的来源.
- 糖尿病是众所周知的各种感染的风险因素,可能会增加对严重眼部感染的易感性.
研究的目的:
- 报告一种由大肠杆菌引起的内源性全眼炎的罕见病例,该病例发生在新诊断出糖尿病的患者身上.
- 强调及时诊断和管理的重要性,在严重的眼球炎病例中挽救眼球.
- 为了说明一个成功的治疗策略,尽管出现延迟的眼炎.
主要方法:
- 一份病例报告显示,一名61岁的马来西亚男性患有左眼泛眼炎.
- 进行了眼睛和全身培养;实验室调查证实了糖尿病.
- 治疗包括一轮静脉注射抗生素和三次内抗生素注射,每隔48-72小时.
主要成果:
- 眼科培养物将大肠杆菌确定为致病生物体.
- 系统性败血检查结果是负面的.
- 尽管推迟呈现,但患者的眼球被成功挽救,避免了内脏剥离.
结论:
- 早期和积极的治疗,包括内和全身抗生素,可以有效地管理全眼.
- 未被诊断或控制不良的糖尿病可能会使个人易患严重内源性眼部感染.
- 这一案例强调了急需及时干预以保护泛眼的眼部结构的必要性.
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