Herschorn B J, Brucker A J
Br J Ophthalmol. 1985 Jan;69(1):29-31. doi: 10.1136/bjo.69.1.29.
Infective embolic retinopathy as a sequela of bacterial endocarditis is described in a 31-year-old woman with mitral valve prolapse. The infective organism, Corynebacterium minutissimum, has not been previously found to cause ocular or multisystem diseases. It is a common mucocutaneous inhabitant which causes erythrasma. In our case report both ocular involvement and septicaemia were present. The infection was confirmed by positive serial blood cultures. Mitral valve prolapse was confirmed by echocardiography. On clinical examination the retinopathy consisted of white intraretinal lesions which resolved with antibiotic therapy. By fluorescein angiography focal areas of hypofluorescence corresponding to the white fundus lesions were present. Optic disc oedema was also seen.
一名患有二尖瓣脱垂的31岁女性被诊断为感染性栓塞性视网膜病变，这是细菌性心内膜炎的后遗症。感染源微小棒状杆菌此前尚未被发现会引发眼部或多系统疾病。它是一种常见的皮肤黏膜寄居菌，可导致红癣。在我们的病例报告中，患者同时出现了眼部感染和败血症。连续血培养呈阳性证实了感染。超声心动图证实了二尖瓣脱垂。临床检查发现视网膜病变表现为视网膜内白色病灶，经抗生素治疗后消退。荧光素血管造影显示，与眼底白色病灶对应的区域出现了局部低荧光。同时还观察到视盘水肿。
