Ratra Dhanashree, Jafferji Shafiq, Biswas Jyotirmay
From the *Department of Vitreoretinal Diseases; and †Department of Ocular Pathology, Medical Research Foundation, Sankara Nethralaya, Chennai, India.
Retin Cases Brief Rep. 2010 Winter;4(1):20-2. doi: 10.1097/ICB.0b013e318196b2b6.
To report a case of unilateral postsurgical bacterial endophthalmitis, which presented in an unusual manner with frosted branch angiitis.
We reviewed the chart of a patient with acute postoperative bacterial endophthalmitis who presented initially as frosted branch angiitis and subsequently developed full-fledged endophthalmitis.
The patient was treated with conventional treatment for postsurgical endophthalmitis along with oral steroids. He recovered full vision with complete resolution of the frosted branch appearance as well as the endophthalmitis.
Primary frosted branch angiitis is a rare form of vasculitis seen in otherwise healthy young children. It has also been reported secondary to autoimmune disorders, malignancies such as lymphoma, and various infective agents. Commonly associated infective agents are viruses such as cytomegalovirus, herpes simplex, varicella zoster, and human immunodeficiency virus. There are isolated case reports of associated rubella and toxoplasma infections. One case has been reported in association with endogenous Fusarium endophthalmitis. No case has been reported in association with bacterial endophthalmitis.
报告一例单侧术后细菌性眼内炎病例，该病例以一种不寻常的方式表现为霜样树枝状视网膜血管炎。
我们回顾了一名急性术后细菌性眼内炎患者的病历，该患者最初表现为霜样树枝状视网膜血管炎，随后发展为典型的眼内炎。
该患者接受了术后眼内炎的常规治疗以及口服类固醇药物。他恢复了完全视力，霜样树枝状外观和眼内炎均完全消退。
原发性霜样树枝状视网膜血管炎是一种罕见的血管炎形式，见于其他方面健康的幼儿。也有报道称其继发于自身免疫性疾病、淋巴瘤等恶性肿瘤以及各种感染因子。常见的相关感染因子是巨细胞病毒、单纯疱疹病毒、水痘带状疱疹病毒和人类免疫缺陷病毒等病毒。有孤立的病例报告称与风疹和弓形虫感染有关。有一例报告与内源性镰刀菌性眼内炎有关。尚未有与细菌性眼内炎相关的病例报告。
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