Lee K, Pien F
Department of Medicine, University of Hawaii-John A. Burns School of Medicine, Honolulu.
Ann Ophthalmol. 1993 Feb;25(2):51-3.
Late-onset endophthalmitis after filtering bleb surgery is most often caused by streptococci. We report the first case of endophthalmitis caused by nutrient variant streptococci (NVS), which probably originated from the oral cavity. This patient's vision improved from light perception to 20/80 with intravitreal and systemic antibiotic administration. In late-onset endophthalmitis, NVS can be pathogenic; the laboratory must be alerted to culture specifically for this fastidious bacterium.
滤过性泡状手术术后迟发性眼内炎最常见的病因是链球菌。我们报告首例由营养变异型链球菌(NVS)引起的眼内炎,该病菌可能源自口腔。通过玻璃体内及全身应用抗生素,该患者的视力从光感提高到了20/80。在迟发性眼内炎中,NVS可能具有致病性;必须提醒实验室专门培养这种苛求菌。