Reddy Akshay J, Tak Nathaniel, Martel James B
Opthalmology, California Northstate University College of Medicine, Elk Grove, USA.
Ophthalmology, California Northstate University College of Medicine, Elk Grove, USA.
Cureus. 2021 Jul 5;13(7):e16192. doi: 10.7759/cureus.16192. eCollection 2021 Jul.
We report a rare case of orbital cellulitis and endogenous endophthalmitis, sepsis, meningitis with a brain abscess and a septic knee secondary to Streptococcus pneumonia. The problems of diagnosis, utility of CT and MRI scanning in the intensive care setting is discussed. The patient was admitted in an obtundated state to the ICU, was noted to have sepsis with blood culture positivity for S pneumoniae. She was noted to have meningitis, a septic knee, a brain abscess and conjunctival injection. CT and MRI scanning did not reveal any ocular or orbital abnormalities. Patient began with a sore throat and knee pain. Despite antibiotic treatment, she became septic with blood culture positivity for S. pneumoniae. She was noted to have knee cellulitis and a brain abscess.
我们报告了一例罕见的由肺炎链球菌引起的眼眶蜂窝织炎、内源性眼内炎、败血症、脑膜炎合并脑脓肿及化脓性膝关节炎病例。讨论了在重症监护环境下的诊断问题以及CT和MRI扫描的作用。患者以昏迷状态入住重症监护病房，血培养显示肺炎链球菌阳性，诊断为败血症。还发现她患有脑膜炎、化脓性膝关节炎、脑脓肿和结膜充血。CT和MRI扫描未显示任何眼部或眼眶异常。患者最初表现为咽痛和膝关节疼痛。尽管进行了抗生素治疗，但她仍因血培养肺炎链球菌阳性而发生败血症。还发现她患有膝关节蜂窝织炎和脑脓肿。
