[Recurrence of bacterial endophthalmitis after penetrating keratoplasty]
Autor: | J L, García Serrano, I, Domínguez, D, Serrano Laborda |
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Rok vydání: | 2004 |
Předmět: |
Adult
Male Endophthalmitis Staphylococcus aureus Candidiasis Staphylococcal Infections Abscess Eye Infections Bacterial Aqueous Humor Vitreous Body Postoperative Complications Treatment Outcome Ciprofloxacin Recurrence Vancomycin Amphotericin B Candida albicans Humans Drug Therapy Combination Eye Infections Fungal Keratoplasty Penetrating |
Zdroj: | Archivos de la Sociedad Espanola de Oftalmologia. 79(2) |
ISSN: | 0365-6691 |
Popis: | One month after penetrating keratoplasty, a male patient suffered recurrent abscess and endophthalmitis caused by mixed bacteria (Staphylococcus aureus and Candida Albicans).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.The delayed vitrectomy proved to be necessary to remove established germs and to eliminate recurrent infections. |
Databáze: | OpenAIRE |
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