Sato A, Iwasaki Y, Shoji J, Sawa M, Noguchi Y
Department of Ophthalmology, Nihon University School of Medicine, Tokyo, Japan.
Nippon Ganka Gakkai Zasshi. 1998 Jun;102(6):395-8.
Impetigo contagiosa often occurs on the face of children. Although the eyelid and conjunctiva are frequently affected, no corneal involvement has been reported in Japan. We encountered a case of impetigo contagiosa with corneal abscess. The patient, an 8-year-old boy, complained of pain and presented with corneal abscess and iritis in the right eye as well as eruptions in the inferior eyelid and around the anterior nostrils. He was diagnosed as having impetigo contagiosa with corneal abscess. Because the corneal abscess and eruptions occurred at the same time and coagulase-positive Staphylococcus with identical drug sensitivity was isolated from both lesions, we considered the corneal lesion as a part of the impetigo contagiosa. When impetigo contagiosa occurs around the eye, especially on the eyelids, a careful examination of the anterior segment of the eye is needed.
脓疱疮常发生于儿童面部。虽然眼睑和结膜常受累，但在日本尚未有角膜受累的报道。我们遇到了一例伴有角膜脓肿的脓疱疮病例。该患者为一名8岁男孩，主诉疼痛，右眼出现角膜脓肿和虹膜炎，同时下眼睑和前鼻孔周围有皮疹。他被诊断为伴有角膜脓肿的脓疱疮。由于角膜脓肿和皮疹同时出现，且从两个病灶中分离出具有相同药敏性的凝固酶阳性葡萄球菌，我们认为角膜病变是脓疱疮的一部分。当脓疱疮发生在眼部周围，尤其是眼睑时，需要仔细检查眼前段。
