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[李斯特菌性眼内炎]

[Listeria endophthalmitis].

作者信息

Berger E, Donat M, Guthoff R F, Podbielski A

机构信息

Augenklinik und Poliklinik, Universität, Rostock.

出版信息

Ophthalmologe. 2005 Sep;102(9):888-90. doi: 10.1007/s00347-004-1124-z.

Abstract

Listeria monocytogenes is a rare cause of endogenous endophthalmitis. During the last 20 years about 30 cases have been published, all of which showed similar clinical features and a profound visual loss mainly owing to delayed diagnosis. This case report is about an otherwise healthy 41-year-old woman whose diagnosis was established 17 days after the onset of symptoms by microbiological cultures. Under sufficient therapy signs of local inflammation disappeared and intraocular pressure decreased. Pars plana vitrectomy was necessary; although post-surgery complications developed, the result was complete recovery of visual acuity.

摘要

单核细胞增生李斯特菌是内源性眼内炎的罕见病因。在过去20年里,已发表了约30例病例,所有病例均表现出相似的临床特征,且主要由于诊断延迟而导致严重视力丧失。本病例报告的是一名41岁的健康女性,其症状出现17天后通过微生物培养确诊。在充分治疗下,局部炎症体征消失,眼压降低。需要进行玻璃体切割术;尽管术后出现了并发症,但最终视力完全恢复。

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