羊水肠杆菌性眼内炎
Enterobacter amnigenus endophthalmitis.
作者信息
Westerfeld Corey, Papaliodis George N, Behlau Irmgard, Durand Marlene L, Sobrin Lucia
机构信息
From the *Department of Ophthalmology, Massachusetts Eye and Ear Infirmary; and †Department of Infectious Diseases, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
出版信息
Retin Cases Brief Rep. 2009 Fall;3(4):409-11. doi: 10.1097/ICB.0b013e31818a46c0.
PURPOSE
To describe a case of Enterobacter amnigenus endophthalmitis.
METHODS
A 33-year-old, previously healthy man presented with unilateral hypopyon uveitis. Visual acuity in the affected eye was counting fingers. Initial laboratory workup was negative. Vitreous cultures revealed the offending agent.
RESULTS
The patient was treated with intravenous and intravitreal antibiotics and responded well. Final visual acuity was 20/30.
CONCLUSION
Enterobacter species have been rarely reported as causes of endophthalmitis. E. amnigenus is almost never pathogenic in humans and previous cases have been described in immunocompromised individuals. Our case demonstrates that appropriate treatment of E. amnigenus endophthalmitis in an immunocompetent individual can result in a good visual outcome.
目的
描述一例羊水肠杆菌性眼内炎病例。
方法
一名33岁、既往健康的男性出现单侧前房积脓性葡萄膜炎。患眼视力为指数。初始实验室检查结果为阴性。玻璃体培养发现了致病病原体。
结果
患者接受了静脉和玻璃体内抗生素治疗，反应良好。最终视力为20/30。
结论
肠杆菌属作为眼内炎的病因鲜有报道。羊水肠杆菌在人类中几乎不具有致病性，之前报道的病例均为免疫功能低下个体。我们的病例表明，对免疫功能正常个体的羊水肠杆菌性眼内炎进行恰当治疗可取得良好的视力预后。
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