눈물주머니코안연결술 및 실리콘관삽입술 후 발생한 형광균 감염 1예

• 영문명: A Case of Pseudomonas fluorescens Infection after Dacryocystorhinostomy and Silicone Tube Intubation
• 발행기관: 대한안과학회
• 저자명: 강정엽 유재호 이정주 김수영 이승욱 이상준,Jeong Yeop Kang, MD, Jae Ho Yoo, MD, Jung Ju Lee, MD, Soo Young Kim, MD,Seung Uk Lee, MD, Sang Joon Lee, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume54,number4, 655~658쪽, 전체 4쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2013.04.30

영문 초록

Purpose: To report a case of Pseudomonas fluorescens infection following endoscopic dacryocystorhinostomy and silicone tube intubation in a healthy patient who was using steroid nasal spray. In addition, a literature review is conducted. Case summary: A 72-year-old female patient came to our clinic with tearing and hyperemia in the right eye. Ten months prior, she had undergone endoscopic dacryocystorhinostomy and silicone tube intubation due to nasolacrimal duct obstruction in the right eye. Six months after the first operation, dacryocystorhinostomy revision with silicone tube exchange was performed due to obstruction of the nasal bony orifice. In addition, the patient was using a steroid nasal spray. On slit lamp examination, conjunctival injection, marked inflammation and punctal edema around the tube were observed. The silicone tube was removed and the tube cultured. Pseudomonas fluorescens was isolated from the tube contents. The patients was treated with topical 0.3% gatifloxacin 4 times a day, methylol cephalexin lysinate 1000 mg 3 times a day and the nasal spray was discontinued. Two weeks later, all symptoms were resolved after treatment with antibiotic treatment. Conclusions: A case of Pseudomonas fluorescens canaliculitis which occurred in healthy patient who was using steroid nasal spray is presented with a literature review. Pseudomonas fluorescens canaliculitis can be treated by using proper antibiotics.

키워드

Canaliculitis, Dacryocystorhinostomy, Nasolacrimal obstruction, Pseudomonas fluorescens, Silicone tube