猫爪开放球损伤后的发性内炎:两个病例报告和文献综述
Ashley Y Gao1, Ameay V Naravane1, Michael A Simmons1
1Department of Ophthalmology and Visual Neuroscience, University of Minnesota, 516 Delaware Street SE, 9-337, Minneapolis, MN, 55455, USA.
Journal of ophthalmic inflammation and infection
|May 6, 2025
概括
猫爪伤害可能会导致严重的内眼炎 (眼部炎症),导致视力不佳. 及时诊断和治疗对于管理这种罕见但毁灭性的疾病至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 创伤学 创伤学 创伤学
背景情况:
- 透眼睛的伤害,特别是来自动物的爪子,构成严重眼内感染的风险.
- 眼内膜炎是眼睛内部结构的严重炎症,可以导致显著的视力丧失.
研究的目的:
- 在猫爪造成的穿透眼睛损伤后报告了两例突发性内炎病例.
- 审查有关与动物相关创伤相关的内眼炎的现有文献.
主要方法:
- 采用了一种案例系列方法,详细介绍了两名患有猫爪损伤后内炎的患者.
- 分析了临床表现,诊断方法,治疗方法 (包括帕斯普拉纳切除术和抗生素),以及结果.
- 进行了关于动物相关内炎的综合文献综述.
主要成果:
- 两名患者在透猫爪伤害后出现过敏内炎.
- 培养物在一个病例中发现了Propionibacterium acnes,在另一个病例中发现了Pasteurella multocida.
- 两名患者都经历了严重的并发症,包括视网膜脱落,尽管迅速的医疗和手术干预,导致视力敏度差.
结论:
- 与猫爪相关的开放球体损伤可以导致快速和严重的内眼炎.
- 已识别的病原体,P. acnes和P. multocida,突出了不同的微生物原因.
- 及时诊断和积极治疗是必不可少的,但在这些罕见的情况下,可能无法防止破坏性视觉结果.
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