Hassanin Fadi, Khawjah Dareen, Elkhamary Sahar, Al Hussain Hailah
King Khaled Eye Specialty Hospital, Riyadh, Saudi Arabia.
Department of Ophthalmology, College of Medicine, Jeddah University, Jeddah, Saudi Arabia.
IDCases. 2021 Apr 20;24:e01130. doi: 10.1016/j.idcr.2021.e01130. eCollection 2021.
We describe a diabetic patient with left eye endogenous endophthalmitis due to hypervirulent hypermucoviscous (HKVP) originating from right renal abscesses. A rare source of HVKP causing endogenous endophthalmitis. Despite treatment with intravenous ceftazidime and pars plana vitrectomy, the patient required evisceration of the left eye. A high index of suspicion for endogenous endophthalmitis and awareness of the virulence and potential antibiotic resistance of HVKP strains in the community is needed to avoid vision and life-threatening consequences.
我们描述了一名糖尿病患者，其左眼因源自右肾脓肿的高毒力高黏液性（HKVP）菌株引发内源性眼内炎。这是导致内源性眼内炎的罕见的HKVP来源。尽管接受了静脉注射头孢他啶和平部玻璃体切除术治疗，但患者仍需摘除左眼。为避免视力受损和危及生命的后果，对于内源性眼内炎需保持高度怀疑，并了解社区中HKVP菌株的毒力和潜在抗生素耐药性。
