Archivos de la Sociedad Espanola de Oftalmologia · 2004
[Recurrence of bacterial endophthalmitis after penetrating keratoplasty].
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
García Serrano J L, Domínguez I, Serrano Laborda D
Аннотация
OBJECTIVE/METHODS: One month after penetrating keratoplasty, a male patient suffered recurrent abscess and endophthalmitis caused by mixed bacteria (Staphylococcus aureus and Candida Albicans).
RESULTS: Two samples of vitreous and aqueous were taken, and a combination of systemic Vancomycin and Amphotericin B were injected intravitreally. The patient was asymptomatic for a month, but the abscess reactivated and was treated with Vancomycin and Ciprofloxacin administered intravenously. Fifteen days after withdrawing the treatment endophthalmitis returned and was treated with vitrectomy and additional systemic/intravitreal antibiotics and antifungal therapy. The final visual acuity was 20/40.
CONCLUSIONS: The delayed vitrectomy proved to be necessary to remove established germs and to eliminate recurrent infections.
RESULTS: Two samples of vitreous and aqueous were taken, and a combination of systemic Vancomycin and Amphotericin B were injected intravitreally. The patient was asymptomatic for a month, but the abscess reactivated and was treated with Vancomycin and Ciprofloxacin administered intravenously. Fifteen days after withdrawing the treatment endophthalmitis returned and was treated with vitrectomy and additional systemic/intravitreal antibiotics and antifungal therapy. The final visual acuity was 20/40.
CONCLUSIONS: The delayed vitrectomy proved to be necessary to remove established germs and to eliminate recurrent infections.
Предметные рубрики MeSH
AbscessAdultAmphotericin BAqueous HumorCandida albicansCandidiasisCiprofloxacinDrug Therapy, CombinationEndophthalmitisEye Infections, BacterialEye Infections, FungalHumansKeratoplasty, PenetratingMalePostoperative ComplicationsRecurrenceStaphylococcal InfectionsStaphylococcus aureusTreatment OutcomeVancomycinVitreous Body