PDF(Pubmed)
Abstract：
A 22-year-old lady underwent penetrating keratoplasty for serious keratoconus. The following day, it was complicated by the development of infectious endophthalmitis. The source of infection was identified as carbapenem-resistant Klebsiella pneumoniae. The donor corneal button might be playing a role in infection transmission due to carbapenem-resistant Klebsiella pneumoniae in a sputum culture when the donor was still alive. Nosocomial infections were typically severe, rapidly progressive, and difficult to treat. Finally, the patient underwent therapeutic penetrating keratoplasty again with complete resolution of the infection.
摘要：
一名22岁的女士因严重的圆锥角膜接受了穿透性角膜移植术。第二天,感染性眼内炎的发展使其复杂化。感染源被确定为耐碳青霉烯类肺炎克雷伯菌。当供体仍然活着时，由于痰培养物中碳青霉烯类耐药肺炎克雷伯菌，供体角膜纽扣可能在感染传播中起作用。医院感染通常很严重，迅速进步，而且很难治疗。最后,患者再次接受治疗性穿透性角膜移植术,感染完全缓解.
