中国医学科学院学报

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中国医学科学院学报

中国医学科学院学报 ›› 2021, Vol. 43 ›› Issue (4): 659-662.doi: 10.3881/j.issn.1000-503X.13368

• 病例报告 • 上一篇    下一篇

硅油眼术后混合性眼内炎一例

肖俊彦1,陈迪1,刘文静2,3,闵寒毅1()   

  1. 中国医学科学院 北京协和医学院 北京协和医院 1眼科,北京100730
    2临床微生物科,北京100730
    3北京市侵袭性真菌病机制研究与精准诊断北京市重点实验室,北京 100730
  • 收稿日期:2020-09-16 出版日期:2021-08-30 发布日期:2021-09-03
  • 通讯作者: 闵寒毅 E-mail:minhy@pumch.cn

Endophthalmitis Caused by Mixed Infections in Silicone Oil-filled Eye:One Case Report

XIAO Junyan1,CHEN Di1,LIU Wenjing2,3,MIN Hanyi1()   

  1. 1Department of Ophthalmology,Beijing 100730,China
    2Department of Clinical Microbiology,PUMC Hospital, CAMS and PUMC,Beijing 100730,China
    3Beijing Key Laboratory for Mechanisms Research and Precision Diagnosis of Invasive Fungal Diseases,Beijing 100730,China
  • Received:2020-09-16 Published:2021-08-30 Online:2021-09-03
  • Contact: MIN Hanyi E-mail:minhy@pumch.cn

摘要:

眼内炎在玻璃体切除术后的发生率极低,在硅油眼中更为罕见。硅油对微生物的细胞膜有毒性作用,并可以导致其缺乏营养,被认为可抑制细菌和真菌的生长。硅油眼术后混合性眼内炎,特别是革兰阴性菌的感染报道较少。通过回顾1例由病原菌检测诊断证实的硅油眼中混合感染摩氏摩根菌和表皮葡萄球菌眼内炎患者的临床表现和诊疗经过,提高对混合性感染的认识和诊断水平。

关键词: 玻璃体切除术后眼内炎, 硅油, 摩氏摩根菌, 头孢他啶

Abstract:

The incidence of endophthalmitis after vitrectomy is extremely low,especially lower in silicone oil-filled eyes.Silicone oil exerts a toxic effect on the cell membranes of microorganisms and leads to the lack of nutrients.It is thus believed to inhibit the growth of bacteria and fungi.Endophthalmitis induced by mixed bacteria in silicone oil-filled eye has been rarely reported.We reviewed the clinical manifestations,diagnosis,and treatment of a patient with endophthalmitis caused by mixed infection of Morganella morganii and Staphylococcus epidermidis in the silicone oil-filled eye,aiming to improve the understanding and diagnosis of mixed infections.

Key words: post-vitrectomy endophthalmitis, silicone oil, Morganella morganii, ceftazidime

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