Suemori Shinsuke, Sawada Akira, Komori Shinya, Mochizuki Kiyofumi, Ohkusu Kiyofumi, Takemura Hirofumi
Department of Ophthalmology. University Graduate School of Medicine, Gifu, Japan.
Clin Ophthalmol. 2010 Aug 19;4:917-8. doi: 10.2147/opth.s10900.
We report a rare case of endogenous endophthalmitis caused by Streptococcus equisimilis. A 74-year-old woman with endocarditis developed endogenous endophthalmitis. The patient underwent emergency mitral valvuloplasty, and intravitreal and subconjunctival injections of vancomycin and meropenem. After the surgery, she was treated with topical antibiotics, ointment, intravenous gentamicin and intravenous penicillin G potassium. The causative organism was identified as S. equisimilis. S. equisimilis should be considered as a pathogen that can cause severe endogenous endophthalmitis.
我们报告了一例由似马链球菌引起的罕见内源性眼内炎病例。一名患有心内膜炎的74岁女性发生了内源性眼内炎。该患者接受了急诊二尖瓣成形术，并进行了玻璃体内及结膜下注射万古霉素和美罗培南。术后，她接受了局部抗生素、眼膏、静脉注射庆大霉素和静脉注射青霉素G钾治疗。致病微生物被鉴定为似马链球菌。似马链球菌应被视为一种可引起严重内源性眼内炎的病原体。
