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来自马拉维布兰太尔伊丽莎白女王中央医院的 HIV 血清阳性患者菌血症引起的眼部感染。

Ocular infection from bacteraemia in a sero-positive HIV patient from Queen Elizabeth Central Hospital, Blantyre, Malawi.

机构信息

Department of Ophthalmology, University of Malawi, College of Medicine, Blantyre, Malawi.

Lions Sight First Eye Unit, Queen Elizabeth Central Hospital, Blantyre, Malawi.

出版信息

Malawi Med J. 2020 Dec;32(4):232-234. doi: 10.4314/mmj.v32i4.10.

DOI:10.4314/mmj.v32i4.10
PMID:34457210
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8364796/
Abstract

Ocular involvement in bacteraemia occurs with metastatic infection and has been identified as an independent risk factor for mortality. It manifests as either endophthalmitis or chorioretinitis and often leads to visual loss, particularly with delayed diagnosis. We present a case report of endogenous endophthalmitis and chorioretinitis in the background of methicillin-sensitive (MSSA) bacteraemia in a 23-year-old HIV-positive woman.

摘要

眼部感染发生于转移性感染，并已被确定为死亡的独立危险因素。它表现为眼内炎或脉络膜炎，常导致视力丧失，特别是诊断延迟时。我们报告了一例 23 岁 HIV 阳性女性在耐甲氧西林金黄色葡萄球菌（MSSA）菌血症背景下发生的内源性眼内炎和脉络膜炎病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c31b/8364796/4ef82a9a0e6f/MMJ3204-0232Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c31b/8364796/c2c865590273/MMJ3204-0232Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c31b/8364796/4ef82a9a0e6f/MMJ3204-0232Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c31b/8364796/c2c865590273/MMJ3204-0232Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c31b/8364796/4ef82a9a0e6f/MMJ3204-0232Fig2.jpg

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本文引用的文献

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Characteristics of Staphylococcus aureus Bacteraemia and Predictors of Early and Late Mortality.金黄色葡萄球菌菌血症的特征及早期和晚期死亡率的预测因素
PLoS One. 2017 Feb 2;12(2):e0170236. doi: 10.1371/journal.pone.0170236. eCollection 2017.
2
Incidence and Risk Factors of Ocular Infection Caused by Staphylococcus aureus Bacteremia.金黄色葡萄球菌菌血症所致眼部感染的发病率及危险因素
Antimicrob Agents Chemother. 2016 Mar 25;60(4):2012-7. doi: 10.1128/AAC.02651-15. Print 2016 Apr.
3
Endogenous endophthalmitis: diagnosis, management, and prognosis.
内源性眼内炎：诊断、治疗与预后
J Ophthalmic Inflamm Infect. 2015 Dec;5(1):32. doi: 10.1186/s12348-015-0063-y. Epub 2015 Nov 3.
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Metastatic infectious disease and clinical outcome in Staphylococcus aureus and Streptococcus species bacteremia.金黄色葡萄球菌和链球菌属菌血症中的转移性感染性疾病及临床结局
Medicine (Baltimore). 2012 Mar;91(2):86-94. doi: 10.1097/MD.0b013e31824d7ed2.
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Endogenous endophthalmitis secondary to bacterial meningitis from Neisseria Meningitidis: a case report and review of the literature.脑膜炎奈瑟菌所致细菌性脑膜炎继发的内源性眼内炎：一例病例报告及文献复习
Cases J. 2009 Oct 7;2:149. doi: 10.1186/1757-1626-2-149.
6
Endogenous bacterial endophthalmitis: a 17-year prospective series and review of 267 reported cases.内源性细菌性眼内炎：一项为期17年的前瞻性研究及对267例报告病例的综述
Surv Ophthalmol. 2003 Jul-Aug;48(4):403-23. doi: 10.1016/s0039-6257(03)00054-7.
7
Endogenous endophthalmitis: case report and brief review.内源性眼内炎：病例报告及简要综述。
Am Fam Physician. 1999 Aug;60(2):510-4.