Graffi Shmuel, Peretz Avi, Naftali Modi
Department of Ophthalmology, Bruch Padeh Medical Center, Poriya, Israel.
Eur J Ophthalmol. 2012 Sep-Oct;22(5):834-5. doi: 10.5301/ejo.5000106.
To report an unusual case of a patient with endogenous endophthalmitis caused by Actinomyces neuii.
A 69-year-old woman in an immunosuppressed state and who had a previous history of periappendicular abscess presented with bilateral red painful eyes. The diagnosis was confirmed by culture and pan-bacterial polymerase chain reaction drawn from anterior chamber sample. On admission, the patient underwent an intravitreal injection of vancomycin combined with ceftazidime. Following a 3-week treatment of intravenous penicillin and topical sulfacetamide sodium, the patient recovered fully.
Actinomyces neuii can cause endogenous endophthalmitis. Intravenous penicillin G is an effective treatment leading to favorable prognosis.
报告1例由纽氏放线菌引起的内源性眼内炎的罕见病例。
一名69岁免疫抑制状态且既往有阑尾周围脓肿病史的女性，出现双眼眼红、疼痛。通过对前房样本进行培养和泛细菌聚合酶链反应确诊。入院时，患者接受了玻璃体腔内注射万古霉素联合头孢他啶治疗。经过3周的静脉注射青霉素和局部应用磺胺醋酰钠治疗后，患者完全康复。
纽氏放线菌可引起内源性眼内炎。静脉注射青霉素G是一种有效的治疗方法，预后良好。
