Rao Amith, Taylor Megan K, Marco Tom, Chun Zachary
Department of Internal Medicine, University of Arizona College of Medicine - Tucson, Tucson, USA.
Cureus. 2024 Aug 6;16(8):e66287. doi: 10.7759/cureus.66287. eCollection 2024 Aug.
endophthalmitis is a rare cause of endogenous endophthalmitis, with very few cases documented in the US. We present a male patient in his 60s with a history of latent tuberculosis who presented to the hospital with complaints of acute bilateral vision loss that began three days prior to admission. The workup revealed bacteremia, a large hepatic abscess, severe orbital swelling, and acute angle-closure glaucoma. The patient received intravitreal antibiotics, intravenous antibiotics, a hepatic drain, intraocular pressure-lowering medications, and steroids. Bacteremia was cleared with antibiotics and source control; however, vision loss did not improve. This case emphasizes the acuity and severity of endogenous endophthalmitis and outlines the need for immediate intervention with the onset of symptoms to prevent irreversible vision loss.
眼内炎是内源性眼内炎的罕见病因，在美国记录的病例极少。我们报告一名60多岁的男性患者，有潜伏性结核病史，因入院前三天开始出现急性双侧视力丧失而就诊。检查发现有菌血症、一个大的肝脓肿、严重的眼眶肿胀和急性闭角型青光眼。患者接受了玻璃体内抗生素、静脉抗生素、肝引流、降低眼压药物和类固醇治疗。菌血症通过抗生素和源头控制得以清除；然而，视力丧失并未改善。该病例强调了内源性眼内炎的急性和严重性，并概述了在症状出现时立即进行干预以防止不可逆转的视力丧失的必要性。
