Gaskell Katherine M, Williams Gwyn, Grant Kathie, Lightman Susan, Godbole Gauri
University College London Hospitals NHS Foundation Trust, London, UK; London School of Hygiene & Tropical Medicine, UK.
Moorfields Eye Hospital, London, UK.
IDCases. 2017 Mar 8;8:45-46. doi: 10.1016/j.idcr.2017.03.004. eCollection 2017.
is a known cause of gastroenteritis. Invasive disease can follow bacteremia causing meningoencephalitis, endocarditis and spontaneous miscarriages in immunocompromised patients and pregnant women respectively. We present the first case in England of endogenous endophthalmitis caused by following acute gastroenteritis in an immunocompetent host. A 50-year-old South Asian female presented with acute painful unilateral visual loss occurring shortly after an episode of self-limiting gastroenteritis. On examination, the eye was very inflamed with a hypopyon uveitis. A vitreous biopsy confirmed growth of serotype 1/2a. Diagnostic delay commonly occurs in endogenous endophthalmitis and exacerbates an already poor visual prognosis. Listeria spp. must be considered in ocular inflammation following gastroenteritis. The intraocular inflammation subsided but surgical intervention was required to remove vitreous debris and improve visual acuity.
是已知的肠胃炎病因。侵袭性疾病可继发于菌血症,分别导致免疫功能低下患者和孕妇发生脑膜脑炎、心内膜炎和自然流产。我们报告了英国首例免疫功能正常宿主在急性肠胃炎后发生由[具体病菌名称未给出]引起的内源性眼内炎病例。一名50岁的南亚女性在自限性肠胃炎发作后不久出现急性单侧视力丧失伴疼痛。检查发现,眼睛炎症非常严重,伴有前房积脓性葡萄膜炎。玻璃体活检证实血清型1/2a的[病菌名称未给出]生长。内源性眼内炎通常会出现诊断延迟,这会使本就不佳的视力预后更加恶化。肠胃炎后眼部炎症必须考虑李斯特菌属。眼内炎症消退,但需要手术干预以清除玻璃体碎屑并提高视力。