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牛链球菌内源性眼内炎中的暗前房积脓:临床病理相关性

Dark hypopyon in Streptococcus bovis endogenous endophthalmitis: clinicopathologic correlations.

作者信息

Hauch Adam, Eliott Dean, Rao Narsing A, Vasconcelos-Santos Daniel V, O'Hearn Thomas, Fawzi Amani A

出版信息

J Ophthalmic Inflamm Infect. 2010 Oct 30;1(1):39-41. doi: 10.1007/s12348-010-0008-4.

DOI:10.1007/s12348-010-0008-4
PMID:21475652
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3062758/
Abstract

PURPOSE

The aim of this report is to present a previously unreported causative organism associated with brown-pigmented hypopyon in a patient with endophthalmitis.

METHODS

This is a retrospective case report which includes clinicopathologic correlations.

RESULTS

Vitreous cultures demonstrated Streptococcus bovis infection resulting in a brown-pigmented hypopyon, with uveal pigment found intra- and extracellularly on pathologic examination of the pupillary membrane.

CONCLUSIONS

S. bovis endophthalmitis may be a cause of dark hypopyon, especially in patients with a history of liver disease, and, when identified, warrants colonoscopy and cardiac workup.

摘要

目的

本报告旨在介绍一例眼内炎患者中与棕色色素沉着前房积脓相关的此前未报道的病原体。

方法

这是一篇包括临床病理相关性的回顾性病例报告。

结果

玻璃体培养显示牛链球菌感染导致棕色色素沉着前房积脓,在瞳孔膜病理检查中发现葡萄膜色素存在于细胞内和细胞外。

结论

牛链球菌性眼内炎可能是深色前房积脓的一个原因,尤其是在有肝病病史的患者中,一旦确诊,需要进行结肠镜检查和心脏检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d28/3289237/c5553fa589df/12348_2010_8_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d28/3289237/8870708a2237/12348_2010_8_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d28/3289237/c5553fa589df/12348_2010_8_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d28/3289237/8870708a2237/12348_2010_8_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d28/3289237/c5553fa589df/12348_2010_8_Fig2_HTML.jpg

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本文引用的文献

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Pink hypopyon caused by Klebsiella pneumonia.
Eye (Lond). 2010 May;24(5):929-31. doi: 10.1038/eye.2009.202. Epub 2009 Jul 31.
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Streptococcus bovis endophthalmitis: a unique presentation of colon cancer.牛链球菌性眼内炎:结肠癌的一种独特表现。
Dig Dis Sci. 2007 Sep;52(9):2336-9. doi: 10.1007/s10620-006-9287-x. Epub 2007 Apr 19.
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Endogenous Serratia marcescens endophthalmitis with dark hypopyon: case report and review.伴有深色前房积脓的内源性粘质沙雷氏菌眼内炎:病例报告及文献复习
角膜炎结膜炎后发生的单核细胞增生李斯特菌眼内炎。
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The pathogenicity of the Streptococcus genus.链球菌属的致病性。
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Surv Ophthalmol. 2001 Nov-Dec;46(3):259-68. doi: 10.1016/s0039-6257(01)00263-6.
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The triad of Streptococcus bovis bacteremia, colonic pathology, and liver disease.牛链球菌菌血症、结肠病变和肝脏疾病三联征。
Ann Surg. 1990 Jun;211(6):786-91; discussion 791-2. doi: 10.1097/00000658-199006000-00019.
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Pink hypopyon: a sign of Serratia marcescens endophthalmitis.粉红色前房积脓:粘质沙雷氏菌性眼内炎的体征。
Br J Ophthalmol. 1992 Dec;76(12):764-5. doi: 10.1136/bjo.76.12.764.
6
Elevated intraocular pressure, pigment dispersion and dark hypopyon in endogenous endophthalmitis from Listeria monocytogenes.单核细胞增生李斯特菌所致内源性眼内炎中的眼压升高、色素播散和暗前房积脓
Surv Ophthalmol. 1992 Sep-Oct;37(2):117-24. doi: 10.1016/0039-6257(92)90074-4.
7
Association of Streptococcus bovis with carcinoma of the colon.牛链球菌与结肠癌的关联。
N Engl J Med. 1977 Oct 13;297(15):800-2. doi: 10.1056/NEJM197710132971503.