Santanaraman Ramakrishnan, Ramalingam Ramprasad, Rangarajan Dilip, Patro Kiran Chandra, Elenjickal Nikhil John
Department of Nephrology, NU Hospitals, Bangalore, India.
Indian J Nephrol. 2024 Nov-Dec;34(6):652-654. doi: 10.25259/IJN_271_2024. Epub 2024 Sep 5.
Blood stream infections (BSI) are common in patients with kidney disease. Metastatic foci of infections are one of the known complications of BSI. Endophthalmitis which is defined as infection and inflammation of the inner coats of the eye ball and intraocular fluids (aqueous and vitreous), is one such focus. We discuss the clinical profile of five patients who had endogenous endophthalmitis in the setting of kidney disease and their management and outcome. All five had diabetes mellitus; the source was central venous catheter in two and urinary tract infection in two. Microbial cause was in two, in one, in one and in one. All five required dialysis. Recovery of vision was poor with partial recovery only in two patients. A vision-threatening emergency, this condition requires early identification and management for better recovery of vision.
血流感染（BSI）在肾病患者中很常见。感染的转移性病灶是BSI已知的并发症之一。眼内炎被定义为眼球内膜和眼内液（房水和玻璃体）的感染和炎症，就是这样一个病灶。我们讨论了五例在肾病背景下发生内源性眼内炎患者的临床特征、治疗及预后。所有五例患者均患有糖尿病；感染源两例为中心静脉导管，两例为尿路感染。微生物病因两例为[具体微生物1]，一例为[具体微生物2]，一例为[具体微生物3]，一例为[具体微生物4]。所有五例患者均需要透析。视力恢复较差，仅两例患者部分恢复。作为一种威胁视力的急症，这种情况需要早期识别和治疗以更好地恢复视力。
