Yahya Ali Mohzari , Oweida Fahad AlDosary , Reem F. Bamogaddam , Munira AlHussaini , Hamad Al Alyami , Ahmad Alrashed , Ahmad Alamer
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引用次数: 0
摘要
内源性细菌性眼内炎(EE)是一种预后不良的眼内感染。及时诊断和及时治疗对防止视力丧失至关重要。在这篇通讯中,我们描述了一例由化脓性链球菌(A 组链球菌 [GAS])引起的 EE 病例,患者是一名 HIV 阳性且 2 型糖尿病(DM)控制不佳的患者。一名 60 岁的男性患者有艾滋病史,且 2 型糖尿病控制不佳,表现为进行性视力模糊、左眼疼痛、发红和头痛。根据临床表现和血液培养的革兰氏染色分析,确诊为 EE。经过玻璃体穿刺、玻璃体内注射、局部抗生素和全身抗生素治疗后,患者症状明显好转。该病例凸显了 GAS 作为 EE 病因的罕见性,尤其是在有 HIV 感染和糖尿病等危险因素的患者中。
Endogenous bacterial endophthalmitis in an HIV patient with uncontrolled diabetes: A case of rare ocular complication
Endogenous bacterial endophthalmitis (EE) is an intraocular infection with a poor prognosis. Timely diagnosis and prompt treatment are crucial to prevent vision loss. In this communication, we describe a case of EE caused by Streptococcus pyogenes (Group A Streptococcus [GAS]) in an HIV-positive patient with poorly controlled type 2 diabetes mellitus (DM). A 60-year-old man with a history of HIV and poorly controlled type 2 diabetes, presented with progressive blurry vision, left eye pain, redness, and headache. EE was diagnosed based on the clinical presentation and gram stain analysis of blood culture. Treatment with vitreous tap, intravitreal, topical antibiotics, and systemic antibiotics significantly improved the patient's symptoms. The case highlights the rarity of GAS as a causative agent of EE, particularly in patients with risk factors such as HIV infection and DM.
期刊介绍:
The Journal of Infection and Public Health, first official journal of the Saudi Arabian Ministry of National Guard Health Affairs, King Saud Bin Abdulaziz University for Health Sciences and the Saudi Association for Public Health, aims to be the foremost scientific, peer-reviewed journal encompassing infection prevention and control, microbiology, infectious diseases, public health and the application of healthcare epidemiology to the evaluation of health outcomes. The point of view of the journal is that infection and public health are closely intertwined and that advances in one area will have positive consequences on the other.
The journal will be useful to all health professionals who are partners in the management of patients with communicable diseases, keeping them up to date. The journal is proud to have an international and diverse editorial board that will assist and facilitate the publication of articles that reflect a global view on infection control and public health, as well as emphasizing our focus on supporting the needs of public health practitioners.
It is our aim to improve healthcare by reducing risk of infection and related adverse outcomes by critical review, selection, and dissemination of new and relevant information in the field of infection control, public health and infectious diseases in all healthcare settings and the community.