由Enterobacter cloacae引起的外源性内炎,在水枪伤害后引起的
Amit Kumar Deb1, Aswathi Neena1, Sushmita Sana Chowdhury2
1Department of Ophthalmology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry 605006, India.
The National medical journal of India
|June 23, 2024
概括
一个罕见的Enterobacter cloacae endophthalmitis病例发生在水枪受伤后,没有明显的眼睛伤口. 迅速的手术干预和抗生素对于治疗这种创伤性眼睛感染至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 微生物学 微生物学
背景情况:
- 肠杆菌物种是格拉姆阴性无氧细菌.
- 肠杆菌相关的内炎是一种不常见但严重的眼部感染.
- 创伤性内眼炎通常是透眼损伤的结果.
研究的目的:
- 报告一个由Enterobacter cloacae引起的创伤性内炎的独特病例.
- 要突出在没有明显穿透创伤的内眼炎病例的诊断挑战.
- 强调在与喷水有关的眼睛损伤中考虑内炎的重要性.
主要方法:
- 一个46岁的男性的案例介绍,他的眼睛受到了水枪伤害.
- 临床检查,眼睛超声波B扫描和实验室工作,以排除内源性内耳炎.
- 管理包括紧急玻璃切除术,切除术和油植入.
- 玻璃样本的微生物学分析用于病原体鉴定.
主要成果:
- 鉴定出Enterobacter cloacae是内的致病原体.
- 感染没有明显的外部入口伤口,最初模仿创伤性脑膜炎.
- 孤立的E.cloacae菌株对所有测试的抗生素都敏感.
- 获得的最终视力敏度为20/200.
结论:
- 肠杆菌cloacae可以引起创伤性内炎,即使有微妙的或没有可见的外部眼损伤.
- 在水喷射创伤后诊断内炎时,需要高度的怀疑指数.
- 早期诊断和适当的管理,包括手术干预和抗生素,对于视觉结果至关重要.
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