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肺炎链球菌所致双侧内源性眼内炎:一种罕见但极具破坏性的并发症

Bilateral Endogenous Endophthalmitis Secondary to Streptococcus pneumoniae: An Uncommon but Devastating Complication.

作者信息

Chua Wen Jun, P Radhakrishnan Anuradha, Yusof Widad M, Chang Chee Yik

机构信息

Internal Medicine, Hospital Selayang, Selayang, MYS.

Infectious Diseases, Hospital Selayang, Selayang, MYS.

出版信息

Cureus. 2023 Apr 16;15(4):e37655. doi: 10.7759/cureus.37655. eCollection 2023 Apr.

Abstract

Endophthalmitis is an infection of the vitreous and/or aqueous humours, caused by bacteria or fungi, and can be either exogenous (resulting from trauma or intraocular procedures) or endogenous (hematogenous in origin). Although less common than exogenous endophthalmitis, endogenous endophthalmitis can have serious, vision-threatening consequences. is a rare cause of endogenous endophthalmitis and is associated with a poor prognosis. In this report, we present a rare case of pneumococcal endogenous endophthalmitis that led to a devastating outcome despite both medical and surgical interventions. Early systemic treatment and prompt identification of the primary source are crucial and potentially life-saving.

摘要

眼内炎是由细菌或真菌引起的玻璃体和/或房水感染,可分为外源性(由外伤或眼内手术引起)或内源性(血源性)。尽管内源性眼内炎比外源性眼内炎少见,但可导致严重的视力威胁后果。是内源性眼内炎的罕见病因,且预后不良。在本报告中,我们呈现了一例罕见的肺炎球菌性内源性眼内炎病例,尽管进行了药物和手术干预,仍导致了灾难性后果。早期全身治疗和及时识别主要来源至关重要,可能挽救生命。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85e8/10188273/5e42120215f6/cureus-0015-00000037655-i01.jpg

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