Staphylococcus Aureu Infectious Scleritis with Unknow Cause: A Case Report

目的：報告一位金黃色葡萄球菌感染性鞏膜炎合併鞏膜膿瘍之案例。方法：病例報告。結果：一位50歲男性因左眼鞏膜炎轉診至本院。病患轉診前因左側紅眼持續了兩週，接受局部及全身性類固醇治療，然而病情卻沒有改善。一個巨大的鞏膜膿瘍在上側輪狀部正12點鐘附近產生。病患否認接受過任何眼部手術並回想紅眼發生之前兩天曾被蝴蝶撞到眼睛。切開引流鞏膜膿瘍後，細菌培養結果為金黃色葡萄球菌。使用全身靜脈注射、結膜下注射及局部點抗生素治療後，膿瘍最後消失但留下鞏膜變薄的後遺症。結論：在沒接受過眼科手術病人身上發生之感染性鞏膜炎相當罕見。密集的使用類固醇可能會使得感染加劇而產生巨大的鞏膜膿瘍。

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並列摘要

Purpose: To describe a case of infectious scleritis with a huge abscess caused by Staphylococcus aureus.Methods: Single interventional case report.Results: A 50-year-old man was referred for scleritis in the left eye. He had symptoms of redness in the left eye for 2 weeks and had received topical and systemic prednisolone with no success. A huge scleral abscess was noted just above the superior limbus at the 12 o'clock position. He denied any history of ocular surgery and recalled being hit in the left eye by a butterfly 2 days before the development of red eye. Incision and drainage of the abscess were performed. The culture of the pus grew Staphylococcus aureus. After treatment with a combination of intravenous, topical, and subconjunctival injection of antibiotics, the abscess was absorbed with a sequela of thin sclera.Conclusion: Infectious scleritis occurring in patients without ocular surgery is rare. Intensive corticosteroid treatment may aggravate the infection and lead to a huge abscess formation.

並列關鍵字

Staphylococcus aureus ； infectious scleritis ； scleral abscess

國際替代計量

Staphylococcus Aureu Infectious Scleritis with Unknow Cause: A Case Report

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