폐렴사슬알균 수막염 환자에서 발생한 양안 내인성 안내염 1예

• 영문명: A Case of Bilateral Endogenous Endophthalmitis in a Streptococcus pneumoniae Meningitis Patient
• 발행기관: 대한안과학회
• 저자명: 이민수 장무환,Min Soo Lee, MD, Moo Hwan Chang, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume54,number2, 370~374쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2013.02.28

영문 초록

Purpose: To report a case of bilateral endogenous endophthalmitis in a Streptococcus pneumoniae meningitis patient. Case summary: A 45-year-old woman with bacterial meningitis was referred to the ophthalmologic clinic with acute visual impairment in both eyes. The patient`s visual acuities were hand motion in both eyes. Ophthalmoscopy revealed inflammation in the anterior chamber and vitreous opacities in both eyes. Streptococcus pneumoniae was isolated in the cerebrospinal fluid sample, but not in vitreal, blood samples. Vision improved to 70/100 in the right eye and 2/100 in the left eye after 8 days of treatment. Conclusions: Endogenous endophthalmitis constitutes a rare complication of Streptococcus pneumoniae meningitis, and a prompt diagnosis and administration of empirical intravitreal antibiotics can lead to a more favorable visual prognosis.

키워드

Endogenous endophthalmitis, Meningitis, Streptococcus pneumoniae