Argelich Roger, Ibáñez-Flores Nuria, Bardavio Javier, Burés-Jelstrup Anniken, García-Segarra Glòria, Coll-Colell Rosa, Cuadrado Vanesa, Fernández-Monrás Francesc
Department of Internal Medicine and Infectious Diseases, University Hospital Sagrat Cor, 08029 Barcelona, Spain.
Diagn Microbiol Infect Dis. 2009 Aug;64(4):442-4. doi: 10.1016/j.diagmicrobio.2009.04.014.
We report the first case of orbital cellulitis and endogenous endophthalmitis secondary to Proteus mirabilis bacteremia that resulted from a calculus cholecystitis. Despite resolution of the gallbladder infection with antimicrobial therapy, the patient required evisceration of the affected eye. The pathogenesis of hematogenous endophthalmitis due to Gram-negative bacilli is discussed.
我们报告了首例因胆囊结石性胆囊炎继发奇异变形杆菌菌血症导致眼眶蜂窝织炎和内源性眼内炎的病例。尽管抗菌治疗使胆囊感染得到缓解,但患者仍需摘除患眼。本文讨论了革兰氏阴性杆菌引起血源性眼内炎的发病机制。