Endogenous Bacterial Endophthalmitis Complicating Hemodialysis Catheter-Related Sepsis: A Case Report and Review of the Literature

IF 1.2 4区医学 Q3 UROLOGY & NEPHROLOGY

Hemodialysis International Pub Date : 2025-03-08 DOI:10.1111/hdi.13226

Hui Guo, Dingyu Zhu, Yonglan Wang, Miao Ding, Yanyun Jiang, Xiaoxia Wang

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Abstract

Background

Endogenous endophthalmitis is an infrequent yet severe complication of hemodialysis catheter-related sepsis. In this report, we present a case of endogenous bacterial endophthalmitis in a patient with hemodialysis catheter-related sepsis.

Case Presentation

A 65-year-old male had a history of hepatitis B-related glomerulonephritis, end-stage renal disease, hepatitis-B-related decompensated cirrhosis, hypertension, diabetes mellitus, and coronary artery disease. He received temporary central venous catheterization and commenced hemodialysis. Subsequent diagnosis of methicillin-resistant Staphylococcus aureus (MRSA) endogenous endophthalmitis originating from catheter-related bloodstream infection (CRBSI) was established. The patient underwent vitrectomy and received intravitreal antibiotic injections. Treatment with systemic and local antibiotics was sustained for a duration of 4 weeks, however, the patient's visual acuity remained poor.

Conclusions

Endogenous endophthalmitis represents a vision-threatening emergency necessitating rapid identification and intervention. Clinicians should maintain a high index of suspicion for endogenous endophthalmitis when ocular symptoms manifest in the context of sepsis. Timely ophthalmological evaluation and management are imperative to optimize patient outcomes.

Abstract Image

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内源性细菌性眼内炎并发血液透析导管相关性脓毒症1例报告及文献复习。

背景：内源性眼内炎是血液透析导管相关性败血症的一种少见但严重的并发症。在这个报告中，我们提出一个病例内源性细菌性眼内炎患者与血液透析导管相关的败血症。病例介绍：65岁男性，有乙型肝炎相关肾小球肾炎、终末期肾病、乙型肝炎相关失代偿性肝硬化、高血压、糖尿病和冠状动脉疾病病史。他接受了临时中心静脉置管并开始血液透析。随后诊断为耐甲氧西林金黄色葡萄球菌（MRSA）内源性眼内炎，起源于导管相关性血流感染（CRBSI）。患者行玻璃体切除术并接受玻璃体内抗生素注射。全身和局部抗生素治疗持续4周，但患者的视力仍然很差。结论：内源性眼内炎是一种威胁视力的急症，需要快速识别和干预。当眼部症状出现在脓毒症的背景下时，临床医生应保持对内源性眼内炎的高度怀疑。及时的眼科评估和管理是优化患者预后的必要条件。内源性眼内炎是一种威胁视力的紧急情况，需要快速识别和干预。当眼部症状出现在脓毒症的背景下时，临床医生应保持对内源性眼内炎的高度怀疑。及时的眼科评估和管理是优化患者预后的必要条件。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hemodialysis International UROLOGY & NEPHROLOGY-

CiteScore

2.50

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Hemodialysis International was originally an annual publication containing the Proceedings of the International Symposium on Hemodialysis held in conjunction with the Annual Dialysis Conference. Since 2003, Hemodialysis International is published quarterly and contains original papers on clinical and experimental topics related to dialysis in addition to the Annual Dialysis Conference supplement. This journal is a must-have for nephrologists, nurses, and technicians worldwide. Quarterly issues of Hemodialysis International are included with your membership to the International Society for Hemodialysis. The journal contains original articles, review articles, and commentary to keep readers completely updated in the field of hemodialysis. Edited by international and multidisciplinary experts, Hemodialysis International disseminates critical information in the field.