Endogenous Serratia Marcescens Endophthalmitis-A Case Report

內因性沙雷氏黏質菌(Serratia marcescens)眼內炎－病例報告

陳美如(Mei-Ju Chen) ； 陳彥成(Yen-Cheng Chen) ； 周清光(Ching-Kuang Chou) ； 許紋銘(Wen-Ming Hsu)

《中華民國眼科醫學會雜誌》 42卷2期 (2003/06) Pp. 150-154

https://doi.org/10.30048/ACTASOS.200306.0008

摘要

內因性細菌性眼內炎並不常見。本文報告一位七十五歲男性，因泌尿道插管感染併發敗血症緣，不幸出現眼內炎及眼窩蜂窩組織炎的情形。血液標本和玻璃體抽出物均培養出沙雷氏黏質菌(Serratia marcescens)。我們根據敏感性試驗，使用第三代頭芽孢菌素及氨基配醣抗生素控制眼內炎後，病況得到改善，但是患眼最後還是呈現眼球萎縮，失去視力。

並列摘要

Endogenous bacterial endophthalmitis is uncommon. We reported a 75-year old male presented with concurrent endophthalmitis and orbital cellulitis following Serratia marcescens septicemia after urinary catheterizetion. Culture of the aspirate from the vitreous showed Serratia marcescens, which was also isolated from the blood culture. Third generation Cephalosporin and Amikin were administered according to the sensitivity test. Despite intensive systemic and topical antibiotic therapy, the patient had total vision loss in the affected eye eventually.

並列關鍵字

Serratia Marcescens ； endophthalmitis