Endogenous Aeromonas Hydrophila Endophthalmitis in an Immunocompromised Patient

• 발행기관: 대한안과학회
• 저자명: Hee Jin Sohn Dong Heun Nam Yeon Suk Kim Hae Jung Paik
• 간행물 정보: 『The Korean Journal of Ophthalmology』Vol.21 No.1, 45~47쪽, 전체 -40쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2007.03.30

영문 초록

Purpose: To report a case of endogenous endophthalmitis due to Aeromonas hydrophila in a patient with distal common bile duct carcinoma and biliary sepsis. Methods: A 72-year-old woman with distal common bile duct carcinoma, obstructive jaundice, diabetes mellitus, and hypertension had a 1-day history of blurred vision, redness, and eye discharges in the right eye. An ophthalmic examination showed no light perception vision, increased intraocular pressure, severe corneal edema, severe anterior chamber reaction, exudative membranes on the anterior lens surface, and severe vitreal reaction. There was no ocular history of trauma, infection, or surgery in either eye. Results: Under the impression of endogenous bacterial endophthalmitis, immediate intraocular cultures and intravitreal antibiotic injections were performed, but the anterior chamber reaction, and the ultrasonogram findings were deteriorated. Evisceration was undertakened because of extrusion of the intraocular contents, and Aeromonas hydrophila was isolated by intraocular culture. Conclusions: Endogenous endophthalmitis due to Aeromonas hydrophila is rare, but has a rapid clinical course and a poor prognosis, despite of prompt diagnosis and management.

목차

Case report

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키워드

Aeromonas hydrophila Endogenous endophthalmitis Immunocompromised