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持续的视力丧失:肺炎克雷伯菌的毒力

Unrelenting Vision Loss: The Virulence of Klebsiella pneumoniae.

作者信息

Prasad Minali, Kosowsky Tova, Chen Xuejing, Davoudi Moghaddam Samaneh, Ness Steven, Peeler Crandall, Siegel Nicole H, Subramanian Manju L

机构信息

Ophthalmology, Boston University Chobanian & Avedisian School of Medicine, Boston, USA.

Ophthalmology, Boston Medical Center, Boston, USA.

出版信息

Cureus. 2023 Sep 6;15(9):e44786. doi: 10.7759/cureus.44786. eCollection 2023 Sep.

Abstract

A 37-year-old Hispanic male with a recent history of COVID-19 infection and type 2 diabetes mellitus was admitted to the hospital with shortness of breath, chest pain, and hyperglycemia. Eye exam and imaging findings indicated endogenous endophthalmitis confirmed by blood cultures that speciated to . The patient's eye condition progressed, ultimately resulting in no light perception less than a month after the initial evaluation. Due to the rapidly progressive nature of Klebsiella endogenous endophthalmitis, we recommend that primary teams consult ophthalmology for close monitoring of patients with a high index of suspicion.

摘要

一名37岁的西班牙裔男性,近期有新冠病毒感染史和2型糖尿病,因呼吸急促、胸痛和高血糖入院。眼科检查和影像学检查结果提示内源性眼内炎,血培养确诊为 。患者的眼部病情进展,在初次评估后不到一个月最终导致无光感。由于肺炎克雷伯菌内源性眼内炎的快速进展特性,我们建议初级医疗团队咨询眼科,以便对高度怀疑的患者进行密切监测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e26/10558182/529254ce87ae/cureus-0015-00000044786-i01.jpg

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