内眼手术后圣乔治教堂诺卡菌眼内炎1例  

A case of Nocardia cyriacigeorgica endophthalmitis after intraocular surgery

作　　者：杨丽娜 王伟 孙雪峰 王颖立 盛增议 Yang Lina;Wang Wei;Sun Xuefeng;Wang Yingli;Sheng Zengyi(Yantai YEDA Hospital(Yantai Eye Hospital),Yantai 264000,China)

机构地区：[1]山东省烟台业达医院(烟台眼科医院),烟台264000

出　　处：《中华眼科杂志》2024年第11期931-934,共4页Chinese Journal of Ophthalmology

摘　　要：患者男性,64岁,农民。曾因"右眼无痛性视物模糊1年,加重半年"诊断为"右眼晶状体半脱位、白内障、继发性青光眼、虹膜撕裂、陈旧性外伤、下睑外翻",行"右眼白内障摘除+人工晶状体悬吊固定+瞳孔成形术"。术后约半个月开始出现轻度间断性眼痛,于术后23 d诊为"化脓性眼内炎",行玻璃体切除术后送标本培养1周,结果为圣乔治教堂诺卡菌,加替沙星眼用凝胶局部点眼有效。A 64-year-old male farmer diagnosed as lens subluxation,cataract,secondary glaucoma,iris tear,old trauma and lower eyelid ectropion underwent cataract extraction,intraocular lens suspension fixation and coreoplasty.Mild intermittent ophthalmic pain occurred from half a month after surgery,and suppurative endophthalmitis was diagnosed 23 days after surgery.Vitrectomy was performed.The specimen culture result was Nocardia cyriacigeorgica.Gatifloxacin ophthalmic gel was effective for the infection.

关 键 词：眼内炎 诺卡尔菌感染 加替沙星 手术后并发症 

分 类 号：R779.6[医药卫生—眼科]