익상편 수술 후 발생한 메티실린 저항 황색 포도상구균

• 영문명: A Case of Methicillin Resistant Staphylococcus Aureus Scleritis after Pterygium Excision
• 발행기관: 대한안과학회
• 저자명: 박성후 이민호 이지은 이종수,Sung Who Park, M.D., Min Ho Lee, M.D., Ji Eun Lee, M.D., Jong Soo Lee, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume48,number1, 157~161쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2007.01.31

영문 초록

Purpose: To report a case, which developed after pterygium excision, of methicillin-resistant Staphylococcus aureus (MRSA) scleritis, for which the patient was treated with antibiotics, debridement, and a scleral graft. Methods: During the application of topical and systemic steroid, because of necrotizing scleritis after pterygium excision, infectious signs were noted. Although the empirical antibiotic treatment with amikacin and ceftazidime was used topically and systemically, no improvement was observed. MRSA was identified by scleral culture, and topical and systemic vancomycin were applied. Results: By one week after beginning vancomycin therapy, the lesion had improved. Over the next seven days, scleral inflammation diminished, and infectious signs regressed. Surgery adding a scleral patch graft and sliding conjunctival flap was performed, and no complications or recurrences were found until eight months postoperatively. Conclusions: In cases of necrotizing scleritis treated with steroid, it should be carefully observed whether there is combined infectious scleritis. If infectious scleritis is resistant to empirical antibiotics, then it should be considered that MRSA can be etiological agent.

키워드

Methicillin resistant Staphylococcus aureus, Pterygium, Scleritis