Department of Ophthalmology, Complejo Hospitalario De Navarra, Pamplona, Spain.
Ocul Immunol Inflamm. 2021 Nov 17;29(7-8):1381-1383. doi: 10.1080/09273948.2020.1767794. Epub 2020 Jul 9.
: To report a case of endogenous endophthalmitis caused by in an immunocompetent host.: A 13-year-old male presented with pain, blurriness, and decreased Visual Acuity (VA) of Hand Motion in his right eye. Slit-lamp examination revealed hypopyon. Fundoscopy showed vitritis, vasculitis, and retinal infiltrates. Echography revealed vitreous condensations. Empirical treatment with intravitreal Ganciclovir, oral Valacyclovir, and Dexamethasone was initiated with no improvement. Vitreous culture revealed growth. Then, intravenous Ciprofloxacin and Cefotaxime and intravitreal Ceftazidime were administered with gradual improvement. Lensectomy with Pars Plana Vitrectomy and intraocular tamponade was performed. Nevertheless, the visual outcome was poor.: Pediatric endogenous bacterial endophthalmitis is a rare but potentially devastating infection which is often misdiagnosed. Moreover, we want to highlight the importance of an adequate clinical suspicion in cases of to prevent the serious complications seen in this report.
报告一例免疫功能正常宿主中由 引起的内源性眼内炎病例。
一名 13 岁男性因右眼疼痛、模糊和视力下降至手动(HM)就诊。裂隙灯检查发现前房积脓。眼底检查显示玻璃体炎、血管炎和视网膜浸润。超声显示玻璃体混浊。给予玻璃体内更昔洛韦、口服伐昔洛韦和地塞米松的经验性治疗,但无改善。玻璃体培养发现 生长。随后给予静脉注射环丙沙星和头孢噻肟以及玻璃体内头孢他啶治疗,病情逐渐好转。行晶状体切除术联合玻璃体切除术和眼内填塞。然而,视力预后不佳。
儿科内源性细菌性眼内炎是一种罕见但具有潜在破坏性的感染,常被误诊。此外,我们想强调在怀疑 时应保持足够的临床警惕性,以防止本报告中所见的严重并发症。