Pediatric Intensive Care Unit, CHU Grenoble-Alpes, 38700 La Tronche, France.
Pediatric Department, CHU Grenoble-Alpes, 38700 La Tronche, France.
Arch Pediatr. 2020 Nov;27(8):506-508. doi: 10.1016/j.arcped.2020.08.012. Epub 2020 Oct 1.
The diagnosis of endogenous endophthalmitis is challenging. We report a pediatric case of endogenous endophthalmitis due to Streptococcus pyogenes angina. A previously healthy 33-month-old child presented to the emergency department with a history of fever and fatigue related to bacterial angina. On physical examination, an opalescent cornea was noticed and the diagnosis of endogenous endophthalmitis was confirmed by the pediatric ophthalmologist. Streptococcus pyogenes was found in blood culture and in the anterior chamber fluid. There was an adverse outcome with posterior vitrectomy and eye atrophy. Since endogenous endophthalmitis can lead to a poor visual outcome, urgent therapeutic management is necessary.
内源性眼内炎的诊断具有挑战性。我们报告了一例由酿脓链球菌性咽峡炎引起的小儿内源性眼内炎病例。一名此前健康的 33 月龄儿童因发热和与细菌性咽峡炎相关的疲劳而到急诊科就诊。体格检查时发现角膜呈乳光状，儿科眼科医生确诊为内源性眼内炎。血液培养和前房液中均发现酿脓链球菌。行玻璃体切除术和眼球萎缩后出现不良结局。由于内源性眼内炎可能导致视力不佳，因此需要紧急治疗。
