Eliott D, O'Brien T P, Green W R, Jampel H D, Goldberg M F
Wilmer Ophthalmological Institute, Johns Hopkins Hospital, Baltimore, Maryland.
Surv Ophthalmol. 1992 Sep-Oct;37(2):117-24. doi: 10.1016/0039-6257(92)90074-4.
Listeria monocytogenes endophthalmitis occurred in an immunologically competent patient with no identifiable extraocular septic focus. The patient presented with a dark hypopyon and markedly elevated intraocular pressure, and the diagnosis was established by culture and histopathologic examination of ocular fluid. Four of the fourteen reported cases of Listeria monocytogenes endophthalmitis also presented with a dark hypopyon, and all cases had markedly elevated intraocular pressure. The presence of a dark hypopyon and elevated intraocular pressure may indicate endogenous intraocular infection with Listeria monocytogenes, even in an apparently healthy host.
一名免疫功能正常且无明显眼外感染灶的患者发生了单核细胞增生李斯特菌性眼内炎。该患者表现为黑色前房积脓和眼压显著升高，通过眼内液培养和组织病理学检查确诊。在已报道的14例单核细胞增生李斯特菌性眼内炎病例中，有4例也表现为黑色前房积脓，且所有病例眼压均显著升高。即使在看似健康的宿主中，黑色前房积脓和眼压升高也可能提示单核细胞增生李斯特菌的内源性眼内感染。
