European journal of ophthalmology · 2012
Endogenous endophthalmitis with an unusual infective agent: Actinomyces neuii.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Graffi Shmuel, Peretz Avi, Naftali Modi
Аннотация
PURPOSE: To report an unusual case of a patient with endogenous endophthalmitis caused by Actinomyces neuii.
METHODS AND RESULTS: A 69-year-old woman in an immunosuppressed state and who had a previous history of periappendicular abscess presented with bilateral red painful eyes. The diagnosis was confirmed by culture and pan-bacterial polymerase chain reaction drawn from anterior chamber sample. On admission, the patient underwent an intravitreal injection of vancomycin combined with ceftazidime. Following a 3-week treatment of intravenous penicillin and topical sulfacetamide sodium, the patient recovered fully.
CONCLUSIONS: Actinomyces neuii can cause endogenous endophthalmitis. Intravenous penicillin G is an effective treatment leading to favorable prognosis.
METHODS AND RESULTS: A 69-year-old woman in an immunosuppressed state and who had a previous history of periappendicular abscess presented with bilateral red painful eyes. The diagnosis was confirmed by culture and pan-bacterial polymerase chain reaction drawn from anterior chamber sample. On admission, the patient underwent an intravitreal injection of vancomycin combined with ceftazidime. Following a 3-week treatment of intravenous penicillin and topical sulfacetamide sodium, the patient recovered fully.
CONCLUSIONS: Actinomyces neuii can cause endogenous endophthalmitis. Intravenous penicillin G is an effective treatment leading to favorable prognosis.