一名海洛因使用者中与金黄色葡萄球菌性心内膜炎相关的转移性脉络膜脓肿和脉络膜新生血管膜
Metastatic choroidal abscess and choroidal neovascular membrane associated with Staphylococcus aureus endocarditis in a heroin user.
作者信息
Coll G E, Lewis H
机构信息
Department of Ophthalmology, Jules Stein Eye Institute, University of California at Los Angeles.
出版信息
Retina. 1994;14(3):256-9. doi: 10.1097/00006982-199414030-00012.
BACKGROUND
A 44-year-old man who was an intravenous heroin user developed multiple septic emboli, including a choroidal abscess in the macula and foot and skin infection after Staphylococcus aureus endocarditis.
METHODS
Prompt administration of systemic oxacillin and gentamicin was prescribed for the endocarditis.
RESULTS
One week after septic embolization to the choroid, a subfoveal, poorly-defined choroidal neovascular membrane with retinochoroidal anastomosis was noted at the site of active choroidal infection.
CONCLUSION
Systemic antibiotic therapy successfully eradicated the choroidal infection, prevented progression to endophthalmitis, and improved visual acuity.
背景
一名44岁的静脉注射海洛因使用者在金黄色葡萄球菌性心内膜炎后出现多处脓毒性栓子，包括黄斑区脉络膜脓肿以及足部和皮肤感染。
方法
针对心内膜炎迅速给予全身性苯唑西林和庆大霉素治疗。
结果
脉络膜发生脓毒性栓塞一周后，在活动性脉络膜感染部位发现一个黄斑下、边界不清的脉络膜新生血管膜，伴有视网膜脉络膜吻合。
结论
全身性抗生素治疗成功根除了脉络膜感染，防止病情进展为眼内炎，并提高了视力。
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