Veronese Chiara, Pellegrini Marco, Maiolo Chiara, Morara Mariachiara, Armstrong Grayson W, Ciardella Antonio P
Ophthalmology Unit, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
University of Bologna, Bologna, Italy.
Am J Ophthalmol Case Rep. 2019 Dec 14;17:100577. doi: 10.1016/j.ajoc.2019.100577. eCollection 2020 Mar.
bacteriemia (SAB) as critical condition for the life and occasionally involves the eyes. The aim of this report is to describe the ocular involvement with multimodal imaging.
A patient admitted for evaluation of acute onset of confusion, disorientation, and generalized malaise and found to have methicillin-resistant staphylococcus aureus (MRSA)-associated endocarditis and multifocal brain abscesses was evaluated by the ophthalmology service. The patient's visual acuity was 20/20 OU without relative afferent pupillary defect and normal intraocular pressures. Bedside anterior segment examination was normal. Posterior segment examination revealed intraretinal hemorrhages and Roth spots in the posterior pole of the right eye, and two deep well-defined focal white chorioretinal infiltrates and a hemorrhagic pigment epithelium detachment in the temporal quadrant of the left eye. Multimodal imaging was utilized to document these findings and ensure adequate antibiotic therapy.
SAB has the potential for poor visual outcomes as well as significant morbidity and mortality. Multimodal imaging of SAB-related chorioretinitis allows for accurate diagnosis as well as assessment of response to antimicrobial therapy.
金黄色葡萄球菌败血症（SAB）是一种危及生命的严重病症，偶尔会累及眼部。本报告旨在描述多模态成像在眼部受累情况中的应用。
一名因急性意识模糊、定向障碍和全身不适入院的患者，被诊断为耐甲氧西林金黄色葡萄球菌（MRSA）相关的心内膜炎和多灶性脑脓肿，眼科对其进行了评估。患者双眼视力均为20/20，无相对性传入瞳孔障碍，眼压正常。床边眼前节检查正常。后节检查发现右眼后极部有视网膜内出血和Roth斑，左眼颞侧象限有两个边界清晰的深部局灶性白色脉络膜视网膜浸润灶以及一个出血性色素上皮脱离。采用多模态成像记录这些发现，并确保进行充分的抗生素治疗。
SAB可能导致不良视力预后以及显著的发病率和死亡率。对SAB相关脉络膜视网膜炎进行多模态成像有助于准确诊断以及评估对抗菌治疗的反应。
