人葡萄球菌性眼内炎伴前房积脓
Staphylococcus hominis endophthalmitis associated with a capsular hypopyon.
作者信息
Iyer Mohan N, Wirostko William J, Kim Steve H, Simons Kenneth B
机构信息
Department of Ophthalmology, Medical College of Wisconsin, Milwaukee,Wisconsin, USA.
出版信息
Am J Ophthalmol. 2005 May;139(5):930-2. doi: 10.1016/j.ajo.2004.10.060.
PURPOSE
To report a case of Staphylococcus hominis endophthalmitis associated with a capsular hypopyon.
DESIGN
Interventional case report.
METHODS
A 51-year-old man presented with chronic postcataract extraction inflammation and underwent vitrectomy, partial capsulectomy, and intravitreal antibiotic injections, followed by explantation of the intraocular lens and capsule.
RESULTS
A capsular hypopyon in the absence of an anterior chamber hypopyon was noted. Cultures of the vitreous and capsule revealed Staphylococcus hominis, a coagulase-negative gram-positive organism.
CONCLUSIONS
We are unaware of previous reports of endophthalmitis caused by Staphylococcus hominis, and could find none in a computerized search using MEDLINE. This case adds Staphylococcus hominis to the list of causative organisms in chronic endophthalmitis and illustrates the rare finding of a capsular hypopyon.
目的
报告1例人葡萄球菌性眼内炎合并晶状体囊下积脓的病例。
设计
介入性病例报告。
方法
一名51岁男性因白内障摘除术后慢性炎症就诊，接受了玻璃体切除术、部分晶状体囊切除术和玻璃体内抗生素注射，随后取出人工晶状体和晶状体囊。
结果
发现无前房积脓的晶状体囊下积脓。玻璃体和晶状体囊培养显示为人葡萄球菌，一种凝固酶阴性革兰氏阳性菌。
结论
我们未发现此前有人葡萄球菌引起眼内炎的报道，在使用MEDLINE进行的计算机检索中也未找到相关报道。该病例将人葡萄球菌添加到慢性眼内炎的病原体列表中，并说明了晶状体囊下积脓这一罕见发现。
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