[Ocular infection by Pseudomonas aeruginosa in a mechanically ventilated patient].
A 59-year-old man developed bilateral keratitis several weeks after the initiation of mechanical ventilation because of respiratory failure and sepsis following abdominal surgery. Colonisation of the upper airways by P. aeruginosa had been established before. Invasion through corneal epithelial defects based on dehydration keratitis was the presumed route of infection. Despite aggressive treatment, including antibiotics, the infection was rapidly progressive in both eyes. The patient died of deterioration of his general condition. In order to prevent such eye infections in a patient on mechanical ventilation, there is a need of good eye care, prevention of corneal lesions and alertness, especially when the patient is colonised by virulent micro-organisms like P. aeruginosa.
Wanten
G J
GJ
Bosch Medicentrum, Afd. Interne Geneeskunde.
Eggink
C A
CA
Bakker
L J
LJ
Smulders
C M
CM
Hieselaar
L C
LC
Koolen
M I
MI
D000005:Abdomen / Q000601:surgery; D017809:Fatal Outcome; D006801:Humans; D007634:Keratitis / Q000382:microbiology*; D008297:Male; D008875:Middle Aged; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification*; D012121:Respiration, Artificial / Q000009:adverse effects*; D012131:Respiratory Insufficiency / Q000150:complications / Q000628:therapy; D018805:Sepsis / Q000150:complications / Q000628:therapy
Ooginfectie door Pseudomonas aeruginosa bij een mechanisch beademde patiënt.