Cowan C L, Madden W M, Hatem G F, Merritt J C
Ann Ophthalmol. 1987 Feb;19(2):65-8.
Over the past seven years we have treated three cases of drug abusers in whom endogenous Bacillus cereus endophthalmitis rapidly progressed to panophthalmitis. Ocular features of infection with this organism include severe pain, chemosis, proptosis, corneal infiltration and ring abscess, subretinal exudation, retinal hemorrhages, and perivasculitis. The process becomes fulminant in an explosive manner and may be accompanied by fever and leukocytosis. Ophthalmologists should be cognizant of the apparent susceptibility of drug abusers to Bacillus cereus infections and should consider this organism in any severe, rapidly evolving intraocular infectious process.
在过去七年里，我们治疗了三例药物滥用者，他们体内的蜡样芽孢杆菌性眼内炎迅速发展为全眼球炎。感染这种微生物的眼部特征包括剧痛、结膜水肿、眼球突出、角膜浸润和环形脓肿、视网膜下渗出、视网膜出血以及血管周围炎。病情会以爆发性的方式迅速恶化，可能伴有发热和白细胞增多。眼科医生应认识到药物滥用者对蜡样芽孢杆菌感染明显易感，并在任何严重的、迅速发展的眼内感染过程中考虑到这种微生物。
