Al Amry Mohammed, Al Ghadeer Huda, Al Gethami Ahmed R
Emergency Department, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Retina Department, King Abdullah Medical City, PO Box 24246, Makkah, 21955, Kingdom of Saudi Arabia.
Int J Retina Vitreous. 2021 Sep 6;7(1):52. doi: 10.1186/s40942-021-00320-w.
To report a rare case of bee sting presumed endophthalmitis that resulted in a devastating ocular outcome.
A 43-year-old patient presented 24 h after bee sting ocular injury in his left eye. He had a mild inflammatory sign at presentation, and he underwent surgical exploration to rule out a scleral defect, which revealed a sealed defect. During his hospital course, he developed signs of endophthalmitis 48 h following trauma for which he received vitreous tap and intravitreal antibiotic. Microbial culture revealed gram-negative rods, Pseudomonas aeruginosa, and Aeromonas veronii. Condition escalated to reach the panophthalmitis stage and cellulitis like picture with visual acuity of no light perception. Visual evoked response (VER) demonstrated a flat response. Infection was controlled by evisceration of the globe at the end as salvage therapy against the spreading of infection CONCLUSIONS: Bee sting ocular injury is an exceedingly rare type of ocular trauma. Concomitant infection can happen, and severity depends on the pathogen involved. It is crucial to have insight and start appropriate treatment based on to the patient presentation.
报告一例罕见的蜜蜂蜇伤所致眼内炎病例，该病例导致了严重的眼部后果。
一名43岁患者在左眼被蜜蜂蜇伤眼部24小时后就诊。就诊时他有轻度炎症体征，接受了手术探查以排除巩膜缺损，结果发现是一个封闭的缺损。在住院期间，外伤后48小时他出现了眼内炎体征，为此接受了玻璃体穿刺和玻璃体内注射抗生素治疗。微生物培养显示革兰氏阴性杆菌，铜绿假单胞菌和维罗纳气单胞菌。病情进展至全眼球炎阶段，出现蜂窝织炎样表现，视力无光感。视觉诱发电位（VER）显示为平坦反应。最后通过眼球摘除术控制感染，作为防止感染扩散的挽救性治疗。结论：蜜蜂蜇伤眼部是一种极其罕见的眼外伤类型。可能会并发感染，严重程度取决于所涉及的病原体。根据患者表现进行深入了解并开始适当治疗至关重要。
