Zusammenfassung
Postoperative Plombeninfektionen stellen seltene, aber das Sehvermögen massiv bedrohende okuläre Infektionen dar. Die am häufigsten als Verursacher isolierten Keime sind koagulase negative Staphylokokken und Staphylococcus aureus. Meist manifestieren sich die Infektionen innerhalb der ersten Monate postoperativ und sind — trotz intensiver lokaler und auch systemischer antibiotischer Therapie — persistierend. In der Regel kann erst nach Plombenexplantation eine Heilung erreicht werden.
Durch Nocardien hervorgerufene okuläre Infektionen sind insgesamt sehr selten. In der Literatur wird über Nocardia assoziierte Keratitis, Skleritis, Endophthalmitis und Dacryocystitis berichtet.
Wir berichten über einen Fall von Nocardia asteroides assoziierter Plombeninfektion, aufgetreten 11 Jahre postoperativ.
Summary
Infection after placement of a scleral buckle remains a significant complication. Infections tend to be persistent, and the most frequently isolated microorganisms have been Staphylococcus epidermidis and Staphylococccus aureus. Management includes use of local and systemic antibiotics, although removal of the scleral buckle is usually necessary to eliminate infection. Nocardia asteroides related ocular infections are rare. Cases of Nocardia keratitis, scleritis, endophthalmitis and dacryocystitis have been reported. We report a case of Nocardia asteroides associated scleral buckle infection, manifesting 11 years after buckling procedure had been performed. We are not aware of any previous report of late scleral buckling infection due to Nocardia asteroides.
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Egger, S.F., Alzner, E., Hell, M. et al. Plombeninfektion durch Nocardia asteroides. Spektrum Augeheilkd 14, 23–25 (2000). https://doi.org/10.1007/BF03162858
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DOI: https://doi.org/10.1007/BF03162858