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在静脉内膜外接剂注射后出现延迟发作的内膜炎
Ali Akbarzadeh1, Masoud Rahimi1, Amin Zand1
1Eye Research Center, The Five Senses Health Institute, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
Journal of current ophthalmology
|January 22, 2024
概括
延迟发病的传染性内炎可能发生在药物注射数月后. 及时诊断和治疗对于管理这种严重的眼科紧急情况至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
背景情况:
- 静脉内注射,如阿弗利塞普特,是用于视网膜疾病的常见治疗方法.
- 延迟发作的内眼炎是眼内注射后的罕见但严重的并发症.
研究的目的:
- 描述一种延迟发病的传染性内炎病例.
- 强调在注射后晚期脑膜炎中考虑感染的重要性.
主要方法:
- 一份病例报告显示,一个80岁的女性在aflibercept注射后4个月出现了内炎.
- 排除 panuveitis 的非传染性原因.
- 玻璃体和水性水龙头用于培养和分析.
- 静脉内注射抗生素 (万科米辛和塞夫塔齐迪姆).
主要成果:
- 鉴定了玻璃体培养的 *Staphylococcus epidermidis *.
- 患者在治疗1个月内表现出症状和征兆的改善.
- 在6个月的随访期间,临床稳定性得到维持.
结论:
- 延迟发作的传染性内炎是内内注射后的潜在并发症.
- 在注射后出现的晚期紫外线炎需要对传染性内炎进行彻底的调查.
- 传染性内眼炎是一种眼科紧急情况,需要迅速管理.
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