Department of Ophthalmology, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam 13496, Republic of Korea.
Medicina (Kaunas). 2024 Apr 25;60(5):700. doi: 10.3390/medicina60050700.
We present a case of endogenous endophthalmitis with urinary tract infection (UTI) caused by group B Streptococcus (GBS). An 86-year-old female initially presented with ocular pain and sudden visual disturbance of the left eye. The patient did not complain of other symptoms and had no history of recent ocular surgery or trauma. Endogenous endophthalmitis was clinically diagnosed based on ophthalmic examination, history, and lab results showing systemic infection. A few days later, GBS was identified in her aqueous humor, blood, and urine cultures. Intravitreal ceftazidime and vancomycin injections, as well as fortified ceftazidime and vancomycin eye drops, were used immediately after clinical diagnosis. However, the symptoms worsened despite repeated intravitreal injections, so evisceration was performed. Endogenous endophthalmitis caused by GBS is very virulent and may present without evident systemic symptoms. The early recognition of the disease and systemic work up, followed by prompt treatment, is necessary.
我们报告了一例由 B 族链球菌（GBS）引起的伴尿路感染（UTI）的内源性眼内炎。一名 86 岁女性最初出现左眼眼痛和突发性视力障碍。患者未诉其他症状，也无近期眼部手术或外伤史。根据眼科检查、病史和实验室结果显示全身感染，临床诊断为内源性眼内炎。几天后，在她的房水、血液和尿液培养中发现了 GBS。在临床诊断后，立即使用玻璃体腔注射头孢他啶和万古霉素，以及强化头孢他啶和万古霉素滴眼液。然而，尽管反复进行玻璃体内注射，症状仍恶化，因此进行了眼内容剜除术。由 GBS 引起的内源性眼内炎非常毒力，可能没有明显的全身症状。早期识别疾病并进行系统检查，随后进行及时治疗非常重要。
