LATE ONSET ENDOPHTHALMITIS ASSOCIATED WITH INTRAOCULAR-LENS - A CASE OF MOLECULARLY PROVED STAPHYLOCOCCUS-EPIDERMIDIS ETIOLOGY
LATE ONSET ENDOPHTHALMITIS ASSOCIATED WITH INTRAOCULAR-LENS - A CASE OF MOLECULARLY PROVED STAPHYLOCOCCUS-EPIDERMIDIS ETIOLOGY
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DOI：
10.1136/bjo.75.7.440
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发表时间：
1991-07-01
影响因子：
4.1
通讯作者：
PETERS, G
中科院分区：
文献类型：
--
作者：
JANSEN, B;HARTMANN, C;PETERS, G
本文报告一例白内障摘除后房型人工晶状体植入术后发生严重眼内炎的病例。晶状体植入术前患者的房水和手术中植入的晶状体以及房水和玻璃体液中的微生物培养产生了严格意义上的表皮葡萄球菌。扫描电子显微镜显示晶状体环被葡萄球菌大量定植。通过质粒DNA分析和胞外产物的十二烷基硫酸钠-聚丙烯酰胺凝胶电泳法(SDS-PAGE)证实了所有菌株的克隆性。这强烈提示表皮葡萄球菌在这例迟发性眼内炎中的病因学作用。
A case of severe endophthalmitis after cataract extraction followed by posterior chamber lens implantation is reported. Microbiological cultures from a tap of the patient's aqueous humour prior to lens explantation as well as from the explanted lens and aqueous and vitreous humour during operation yielded Staphylococcus epidermidis sensu stricto. Scanning electron microscopy showed massive colonisation of the lens loop by staphylococci. Clonal identity of all isolates was demonstrated by plasmid DNA analysis and sodium dodecyl sulphate-polyacrylamide gel electrophoresis (SDS-PAGE) of extracellular products. This is strongly suggestive of the aetiological role of S. epidermidis in this case of late onset endophthalmitis.