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Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2025-05-12 DOI:10.1016/j.oftal.2025.04.004

M. Moro-Muniz , J. Raga Cervera , G. Genovés , A. Adloff-Alonso , A. Janicka-Caulineau , D. Salom

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引用次数: 0

摘要

内源性眼内炎是一种由微生物血液传播引起的严重眼内感染。虽然肺炎链球菌是一种罕见的病因，但其侵袭性可导致严重的并发症。我们提出的情况下，一个48岁的男性谁提出了急诊科视力模糊和眶周疼痛在右眼。检查发现高血压性全葡萄膜炎伴玻璃体出血。开始使用广谱局部和全身抗生素。影像学检查显示眼眶蜂窝织炎的征象，无静脉血栓形成，房水培养证实肺炎链球菌的存在，促使住院。尽管进行了治疗，但临床进展导致眼眶内脓肿的发展，需要切除，之后患者进化良好，允许以后放置假体。这个病例强调了肺炎球菌内源性眼内炎的侵袭性和早期多学科治疗的重要性。

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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Endoftalmitis atípica por Streptococcus pneumoniae

Endogenous endophthalmitis is a serious intraocular infection resulting from hematogenous spread of microorganisms. Although Streptococcus pneumoniae is an uncommon cause, its aggressiveness can lead to severe complications.

We present the case of a 48-year-old male who presented to the emergency department with blurred vision and periorbital pain in the right eye. Examination revealed hypertensive panuveitis with vitreous hemorrhage. Broad-spectrum topical and systemic antibiotics were initiated.

Imaging studies showed signs of orbital cellulitis without venous thrombosis, and aqueous humor culture confirmed the presence of S. pneumoniae, prompting hospital admission. Despite treatment, clinical progression led to the development of an intraorbital abscess requiring evisceration, after which the patient evolved favorably, allowing for later prosthesis placement.

This case highlights the aggressiveness of pneumococcal endogenous endophthalmitis and the importance of early, multidisciplinary management.

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来源期刊

Archivos De La Sociedad Espanola De Oftalmologia Medicine-Ophthalmology

CiteScore

1.20

自引率

0.00%

发文量

109

审稿时长

78 days

期刊介绍： La revista Archivos de la Sociedad Española de Oftalmología, editada mensualmente por la propia Sociedad, tiene como objetivo publicar trabajos de investigación básica y clínica como artículos originales; casos clínicos, innovaciones técnicas y correlaciones clinicopatológicas en forma de comunicaciones cortas; editoriales; revisiones; cartas al editor; comentarios de libros; información de eventos; noticias personales y anuncios comerciales, así como trabajos de temas históricos y motivos inconográficos relacionados con la Oftalmología. El título abreviado es Arch Soc Esp Oftalmol, y debe ser utilizado en bibliografías, notas a pie de página y referencias bibliográficas.