황색포도알균 패혈증 환자에서 발생한 스트렙토콕쿠스미티스에 의한 내인성 안내염 1예

• 영문명: A Case of Endogenous Streptococcus Mitis Endophthalmitis in a Patient with Staphylococcus Aureus Sepsis
• 발행기관: 대한안과학회
• 저자명: 이용우 하만묵 한소영 배정훈,Yong Woo Lee, MD, Man Mook Ha, MD, So Young Han, MD, Jeong Hun Bae, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume53,number8, 1190~1193쪽, 전체 4쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2012.08.15

영문 초록

Purpose: To report a case of endogenous endophthalmitis due to Streptococcus mitis in a patient with Staphylococcus aureus sepsis. Case summary: A 77-year-old male complained of sudden visual loss and ocular pain in his right eye and was treated with intravenous antibiotics for Staphylococcus aureus sepsis. With a diagnosis of endogenous endophthalmitis, the patient received pars plana vitrectomy and intravitreal injection of antibiotics. Vitreous fluid was obtained before surgery, and the organism was identified as Streptococcus mitis. Twenty-one days after the surgery, intraocular inflammation was stabilized, and visual acuity was improved from light perception to 20/60. Conclusions: Appropriate sampling and culture of vitreous fluid are important for the diagnosis of endogenous endophthalmitis. The possibility that the causative organism of endogenous endophthalmitis may be different from the result of blood culture should be considered. J Korean Ophthalmol Soc 2012;53(8):1190-1193

키워드

Endogenous endophthalmitis, Sepsis, Staphylococcus aureus, Streptococcus mitis