由Enterococcus casseliflavus引起的内源性内炎在一个看似健康的个体中
Priyadarshini T A1, Sripathi Kamath2, Anup Kumar Shetty3
1Ophthalmology, Father Muller Medical College, Mangalore, karnataka, India.
BMJ case reports
|July 16, 2025
概括
在健康个体中,Enterococcus casseliflavus很少引起内源性内炎 (EE). 这一案例突出了Teicoplanin的作用.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 微生物学 微生物学
背景情况:
- 内源性内耳炎 (EE) 通常影响免疫功能低下的患者,具有全身性败血症焦点.
- 菌 (Enterococcus casseliflavus) 是一种不常见的眼睛感染的原因,特别是内.
研究的目的:
- 在一个健康的个体中报告一种罕见的由Enterococcus casseliflavus引起的内源性内炎病例.
- 为了评估Teicoplanin在这种特定的临床场景中的治疗疗效.
主要方法:
- 一个健康的成年男性出现急性视力损失的病例报告.
- 诊断程序包括玻璃体活检和水龙头用于培养和敏感性.
- 治疗包括了玻璃切除术,内抗生素 (万科米辛,塞夫塔齐迪姆),口服线索利德和内泰科普拉宁.
主要成果:
- 鉴定出Enterococcus casseliflavus是导致病原体.
- 最初的治疗显示出有限的改善;随后的Teicoplanin给药导致视力恢复.
- 患者在体外切除术后三周实现了20/200的视力敏度,没有复发.
结论:
- 菌 (Enterococcus casseliflavus) 可以在没有清晰的污水源的情况下,在免疫能力强的个体中引起内炎.
- 内铁科普拉宁证明了对菌 (Enterococcus casseliflavus endophthalmitis) 的有效性.
- 这一案例强调了考虑异常病原体和针对EE的定制抗生素策略的重要性.
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