외상 후 발생한 바실루스 세레우스 안내염 2예

• 영문명: Posttraumatic Bacillus Cereus Endophthalmitis
• 발행기관: 대한안과학회
• 저자명: 김민정 장보현 김인철 이동욱 안민,Min-Jung Kim, M.D., Bo-Hyun Chang, M.D., In-Cheol Kim, M.D., Dong-Wook Lee, M.D., Min Ahn, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume46,number9, 1597~1604쪽, 전체 8쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2005.09.30

영문 초록

Purpose: We encountered two patients who developed Bacillus cereus endophthalmitis following trauma and eventually underwent enucleation, after aggressive antibiotic therapy. Methods: When removing the intraocular foreign bodies, vancomycin and ceftazidime were injected intravitreally. The patients received postoperative topical fortified antibiotics hourly and underwent intravenous antibiotic therapy. Results: After the operation, rapid corneal melting progressed to impending perforation in one patient’s eye and enucleation was done on postoperative day 11. The eye of another patient progressed to phthisis bulbi and the patient underwent enucleation on postoperative day 45. Conclusions: Bacillus cereus is one of the most aggressive and devastating organisms that causes post-traumatic endophthalmitis and results in poor visual outcome. It is thought to be better to prevent the loss of anatomic integrity and visual function than to perform early intravitreal injection of antibiotics when the operation might be delayed.

키워드

Bacillus cereus endophthalmitis, Intravitreal injection