Haemophilus Influenzae-Associated Scleritis after Pterygium Excision

翼狀贅片切除術後因嗜血性流感菌引起之鞏膜炎

場博閔(Po-Min Yang) ； 方博炯(Po-Chiung Fang)

《中華民國眼科醫學會雜誌》 44卷1期 (2005/03) Pp. 48-52

https://doi.org/10.30048/ACTASOS.200503.0007

摘要

目的：報告一個在翼狀贅片切除術後因嗜血性流感菌引起之鞏膜炎。
方法：病例報告。
結果：一名本身無自體免疫異常的63歲男性在翼狀贅片切除術後7年發生鞏膜炎。最初以局部藥物治療，但在4個月後由於持續的疼痛與發炎，對病灶進行清瘡術。在術中取得的細菌培養長出嗜血性流感菌，隨後根據培養結果投予口服及局部的抗生素治療。手術後3個月，發炎完全緩解且病人的視力恢復到20/20。
結論：在翼狀贅片切除術後發生的感染性鞏膜炎，嗜血性流感菌是一罕見的致病菌。正確的診斷和治療包括手術可以緩解發炎並使病人維持良好的視力。

並列摘要

Purpose: To report a case of Haemophilus influenzae-associated scleritis after pterygium excision.
Methods: Case report.
Results: A 63-year-old male with no underlying autoimmune disorders developed scleritis 7 years after pterygium excision. Initially, topical medical treatment was given. Due to the persistent ocular pain and uncontrolled inflammation for 4 months, surgical debridement was performed. A culture taken intraoperatively grew Haemophilus influenzae; systemic and topical antibiotics in response to the culture result were subsequently prescribed. The scleral inflammation completely resolved, and visual acuity had returned to 20/20 three months after debridement.
Conclusions: Haemophilus influenzae is a relatively rare pathogen in infectious scleritis after pterygium excision. An accurate diagnosis and proper treatment including surgical intervention will not only resolve inflammation but also preserve good visual acuity.

並列關鍵字

scleritis ； Haemophilus influenzae ； pterygium