Socket infection due to retained gauze after evisceration.
A 64-year-old man had late-onset socket infection due to retained surgical gauze after evisceration. External examination showed a mass of retained surgical gauze with copious yellowish discharge and gas bubbles. Computed tomography scans showed a 3.2 x 2.4 x 2.4-cm heterogeneous mass and numerous gas bubbles. Culture of the discharge yielded Pseudomonas aeruginosa, Streptococcus viridans, Peptostreptococcus species, and Fusobacterium species. Surgical debridement and antibiotic therapy achieved a rapid resolution. Retained gauze after evisceration may lead to socket infection, and such a complication should be avoided.
Chang
Yi-Sheng
YS
Department of Ophthalmology the Institute of Clinical Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Ho
Chung-Liang
CL
Tseng
Sung-Huei
SH
D000900:Anti-Bacterial Agents; D001419:Bacteria / Q000302:isolation & purification*; D003131:Combined Modality Therapy; D003646:Debridement; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D017234:Eye Evisceration; D005129:Eye Foreign Bodies / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D015818:Eye Infections, Bacterial / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D005137:Eye, Artificial; D005673:Fusobacterium / Q000302:isolation & purification; D006801:Humans; D008297:Male; D008875:Middle Aged; D009916:Orbital Diseases / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D020273:Orbital Implants / Q000382:microbiology*; D010462:Peptostreptococcus / Q000302:isolation & purification; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification; D015503:Surgical Sponges / Q000382:microbiology*; D014057:Tomography, X-Ray Computed; D034363:Viridans Streptococci / Q000302:isolation & purification
D000900:Anti-Bacterial Agents