内源性内炎并发性感染性内心炎:一个多中心病例匹配的对照队列
Iris Layani1, Florent Arregle1, Sebastian Santos Patarroyo2
1Department of Cardiology, La Timone Hospital Marseille, Boulevard Jean Moulin 13005, Marseille, France.
European heart journal open
|November 13, 2025
概括
内源性内耳炎 (EE) 是传染性内心炎 (IE) 的罕见但严重的并发症. 在IE患者中早期发现和管理EE对于维护视觉功能至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 心脏病学 心脏病学
背景情况:
- 内源性内眼炎 (EE) 是一种不常见但严重的眼内感染.
- 传染性内心炎 (IE) 是已知的,尽管罕见,EE的原因.
- 了解IE相关EE的特征对于及时诊断和治疗至关重要.
研究的目的:
- 调查IE继发的EE患者的临床和微生物特征.
- 确定IE相关EE的治疗策略和结果.
- 将IE相关EE患者与匹配的对照组进行比较.
主要方法:
- 从2014年到2023年进行了一系列国际追溯案例.
- 收集了来自欧洲和美国9个中心的数据.
- 与IE相关的EE患者与匹配的对照组进行了比较.
主要成果:
- 确定了66名IE相关的EE患者,主要是男性 (71%),平均年龄为65.2岁.
- 链球菌是最常见的病原体 (46%),EE患者患糖尿病,肝硬化,血球炎和栓塞率较高.
- 眼部症状包括视力敏度下降 (96%),红眼 (55%) 和疼痛 (55%); 83% 接受了视窗内抗生素,55% 经历了视力敏度的改善.
结论:
- 内源性内耳炎是传染性内心炎的严重并发症,经常导致严重的视力障碍.
- 患有IE的患者需要进行彻底的眼部评估,以早期识别EE.
- 及时诊断和管理EE对于保持IE患者的视觉功能至关重要.
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