[Recurrence of bacterial endophthalmitis after penetrating keratoplasty]. / Endoftalmitis recurrente en queratoplastia penetrante, por flora mixta.
Arch Soc Esp Oftalmol
; 79(2): 89-92, 2004 Feb.
Article
em Es
| MEDLINE
| ID: mdl-14988789
ABSTRACT
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.
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Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Infecções Estafilocócicas
/
Candidíase
/
Infecções Oculares Bacterianas
/
Infecções Oculares Fúngicas
/
Endoftalmite
/
Ceratoplastia Penetrante
Idioma:
Es
Ano de publicação:
2004
Tipo de documento:
Article