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在小切口镜片提取 (SMILE) 后的诺卡迪亚角膜炎

Mohammed H Alhemyari¹, Pranitha Satarasi¹, Joveeta Joseph²

¹Shantilal Shanghvi Cornea Institute, L V Prasad Eye Institute, Hyderabad, India.

BMJ case reports

|May 15, 2024

概括

一个罕见的诺卡迪亚感染病例发生在小切口镜片提取 (SMILE) 眼睛手术后. 及时诊断和抗生素治疗导致了完全康复,强调了对微生物角质炎后LASIK程序的警的重要性.

科学领域:

眼科医生眼科眼科
微生物学微生物学

背景情况:

小切口镜片提取 (SMILE) 是一种折射性手术程序.
手术后感染性角膜炎也可能发生,虽然很少见.

研究的目的:

在SMILE手术后报告诺卡迪亚角质炎的病例.
讨论诊断和成功管理这种罕见的并发症.

主要方法:

临床检查包括裂纹灯检查.
用于微生物学分析的角膜除 (格拉姆染色,酸性染色,培养).

主要成果:

在SMILE后2周诊断出微生物角膜炎.
Corneal 理揭示了Gram-阳性,被确定为诺卡迪亚物种的珠状丝.
成功治疗局部阿米卡辛和系统性三甲胺-硫甲.

结论:

诺卡迪亚角质炎是一个潜在的,虽然很少见的,微笑后的并发症.
早期诊断和适当的抗微生物治疗对于有利的结果至关重要.
这一案例突显了需要意识到反射手术后的非典型微生物感染的必要性.

关键词:

在前面的房间里,前面的房间.眼睛眼睛眼睛眼睛感染感染感染

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