Department of Ophthalmology, University Hospitals Leuven, Leuven, Belgium.
Department of Pathology, University Hospitals Leuven, Leuven, Belgium.
Ocul Immunol Inflamm. 2021 Nov 17;29(7-8):1384-1388. doi: 10.1080/09273948.2020.1769140. Epub 2020 Jul 9.
: The purpose of this report is to present an extremely rare case of endogenous Listeria monocytogenes endophthalmitis.: A 72-year-old woman was diagnosed with endogenous endophthalmitis. Listeria monocytogenes was identified by culture of aqueous humor. Multiple investigations could not reveal any source of infection. An overview of other published cases is presented and a standardized treatment protocol is suggested.: Treatment consisted of topical therapy with antibiotics, corticosteroids, cycloplegics, and intraocular pressure-lowering agents, four intravitreal injections of vancomycin, an anterior chamber washout, intravenous amoxicillin, and eventually a pars plana vitrectomy. The inflammation subsided and the patient was discharged with a best-corrected visual acuity of 20/40.: Our study emphasizes the importance of adequate microbiological testing and initiating appropriate treatment early in the management of endogenous endophthalmitis.
: 本报告旨在介绍一例极为罕见的内生李斯特菌性眼内炎病例。 : 一名 72 岁女性被诊断为内生性眼内炎。通过房水培养鉴定出李斯特菌。尽管进行了多项调查，但仍未能发现任何感染源。本文对其他已发表的病例进行了综述，并提出了标准化的治疗方案。 : 治疗包括局部应用抗生素、皮质类固醇、睫状肌麻痹剂和降眼压药物，四次玻璃体内注射万古霉素，前房冲洗，静脉注射阿莫西林，最终行玻璃体切除术。炎症消退，患者出院时最佳矫正视力为 20/40。 : 本研究强调了在管理内生性眼内炎时，充分的微生物学检测和早期开始适当治疗的重要性。
