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首页> 外文期刊>Journal of glaucoma >Streptococcus intermedius-associated late-onset endophthalmitis after trabeculectomy with adjunctive mitomycin C.
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Streptococcus intermedius-associated late-onset endophthalmitis after trabeculectomy with adjunctive mitomycin C.

机译：小梁切除术联合丝裂霉素C后中间链球菌相关的迟发性眼内炎。

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摘要

PURPOSE: To report a woman with congenital rubella syndrome of delayed-onset, bleb-related endophthalmitis induced by Streptococcus intermedius. METHODS: Interventional case report. RESULTS: A 33-year-old woman who underwent bilateral trabeculectomy with adjunctive mitomycin C, 11 years earlier presented with redness and blurred vision in her right eye. She had received a topical antimicrobial agent because of bleb leak before presentation. She underwent anterior chamber tap and complete vitrectomy with intravitreal antibiotics. Cultures from the vitreous aspirate grew gram-positive cocci. The DNA from the microorganism was sequenced and identified as S. intermedius. Three months after the surgical intervention, her right eye showed no residual inflammation with a best-corrected visual acuity of 30/200. CONCLUSIONS: Bleb-associated endophthalmitis caused by S. intermedius is responsive to intravitreal antibiotics and vitrectomy, and special care should be taken to identify a bacterial pathogen.
机译：目的：报告一名患有间质链球菌引起的迟发性，与疱疹相关的眼内炎的先天性风疹综合征的妇女。方法：介入病例报告。结果：一名11岁的33岁妇女在11年前接受辅助性丝裂霉素C的双侧小梁切除术后，右眼呈现红肿和视力模糊。她在出诊前因小泡漏出而接受了局部抗菌剂治疗。她接受了前房水龙头手术，并使用玻璃体内抗生素进行了玻璃体切除术。玻璃体抽吸物的培养物生长出革兰氏阳性球菌。对来自微生物的DNA进行测序并鉴定为中间链球菌。手术干预三个月后，她的右眼没有残留的炎症，最佳矫正视力为30/200。结论：由中间链球菌引起的小叶相关性眼内炎对玻璃体内抗生素和玻璃体切除术有反应，应特别注意鉴定细菌病原体。

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