{"title":"角膜移植术后 Abiotrophia defectiva 眼内炎 - 病例报告和文献综述。","authors":"Konstantin Gushansky","doi":"10.1080/09273948.2024.2324142","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To report the first case of acute <i>Abiotrophia defectiva</i> endophthalmitis post-keratoplasty and review the current literature.</p><p><strong>Methods: </strong>A 47-year-old male, post-keratoplasty, presented with vision loss and severe anterior chamber reaction. Diagnostic investigations included vitreous cultures and molecular analysis.</p><p><strong>Results: </strong><i>Abiotrophia defectiva</i> was identified. Despite aggressive treatment, visual acuity remained low. We reviewed a total of 14 post-procedural cases of <i>A. defectiva</i> endophthalmitis, focusing on antibiotic and steroidal treatment regimens and long-term prognosis.</p><p><strong>Conclusion: </strong>We emphasize aggressive treatment of external disease prior to intraocular surgery. In cases of <i>A. defectiva</i> endophthalmitis, we advocate judicious use of steroids.</p>","PeriodicalId":19406,"journal":{"name":"Ocular Immunology and Inflammation","volume":" ","pages":"2096-2099"},"PeriodicalIF":2.6000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"<i>Abiotrophia defectiva</i> Endophthalmitis Post-Keratoplasty - A Case Report and Literature Review.\",\"authors\":\"Konstantin Gushansky\",\"doi\":\"10.1080/09273948.2024.2324142\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To report the first case of acute <i>Abiotrophia defectiva</i> endophthalmitis post-keratoplasty and review the current literature.</p><p><strong>Methods: </strong>A 47-year-old male, post-keratoplasty, presented with vision loss and severe anterior chamber reaction. Diagnostic investigations included vitreous cultures and molecular analysis.</p><p><strong>Results: </strong><i>Abiotrophia defectiva</i> was identified. Despite aggressive treatment, visual acuity remained low. We reviewed a total of 14 post-procedural cases of <i>A. defectiva</i> endophthalmitis, focusing on antibiotic and steroidal treatment regimens and long-term prognosis.</p><p><strong>Conclusion: </strong>We emphasize aggressive treatment of external disease prior to intraocular surgery. In cases of <i>A. defectiva</i> endophthalmitis, we advocate judicious use of steroids.</p>\",\"PeriodicalId\":19406,\"journal\":{\"name\":\"Ocular Immunology and Inflammation\",\"volume\":\" \",\"pages\":\"2096-2099\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2024-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Ocular Immunology and Inflammation\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/09273948.2024.2324142\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/3/4 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"OPHTHALMOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ocular Immunology and Inflammation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/09273948.2024.2324142","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/3/4 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
Abiotrophia defectiva Endophthalmitis Post-Keratoplasty - A Case Report and Literature Review.
Purpose: To report the first case of acute Abiotrophia defectiva endophthalmitis post-keratoplasty and review the current literature.
Methods: A 47-year-old male, post-keratoplasty, presented with vision loss and severe anterior chamber reaction. Diagnostic investigations included vitreous cultures and molecular analysis.
Results: Abiotrophia defectiva was identified. Despite aggressive treatment, visual acuity remained low. We reviewed a total of 14 post-procedural cases of A. defectiva endophthalmitis, focusing on antibiotic and steroidal treatment regimens and long-term prognosis.
Conclusion: We emphasize aggressive treatment of external disease prior to intraocular surgery. In cases of A. defectiva endophthalmitis, we advocate judicious use of steroids.
期刊介绍：
Ocular Immunology & Inflammation ranks 18 out of 59 in the Ophthalmology Category.Ocular Immunology and Inflammation is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished manuscripts directed to ophthalmologists and vision scientists. Published bimonthly, the journal provides an international medium for basic and clinical research reports on the ocular inflammatory response and its control by the immune system. The journal publishes original research papers, case reports, reviews, letters to the editor, meeting abstracts, and invited editorials.
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