种植牙后的双侧内源性链球菌眼内炎:病例报告和文献综述。

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Annals of African Medicine Pub Date : 2024-11-08 DOI:10.4103/aam.aam_121_24
Asma Alzuabi, Saleh Alrashed, Saad Aldahmash
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引用次数: 0

摘要

摘要:内源性眼内炎是微生物从远处病灶经血源传播引起的眼内炎症。肝炎链球菌是一种栖息于口腔的低毒性微生物,但很少有报道称它会引起内源性眼内炎。在本病例报告中,我们介绍了一名患有双侧不对称内源性眼内炎的 63 岁女性,她的右眼受到严重影响,出现光感视力、眼压过低以及严重的前后节炎症。左眼表现为视网膜内感染性浸润和轻微的玻璃体炎。然而,引起该膜炎菌血症的原因尚不清楚。考虑到患者最近进行了植牙手术,我们推测细菌可能是通过口腔进入血液的。患者接受了玻璃体内和全身抗生素治疗,并接受了右眼玻璃体旁切除术。总之,我们介绍了一例内源性眼内炎病例,推测是在牙科植入手术后发生的。在不复杂的牙科手术后,葡萄球菌可能会侵入血液,导致双侧内源性眼内炎。早期发现、及时使用全身性抗生素和玻璃体内抗生素并尽早进行玻璃体切除术可能会保护患者的眼球和视力。
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Bilateral Endogenous Streptococcus mitis Endophthalmitis Following Dental Implant: A Case Report and Literature Review.

Abstract: Endogenous endophthalmitis is an intraocular inflammation caused by the hematogenous spread of microorganisms from distant foci. Streptococcus mitis is a low-virulence organism that inhabits the oral cavity; however, it has rarely been reported to cause endogenous endophthalmitis. In this case report, we present a 63-year-old woman with bilateral asymmetrical endogenous endophthalmitis and a severely affected right eye, with light perception vision, hypotony, and severe anterior and posterior segment inflammation. The left eye exhibited intraretinal infectious infiltrates and minimal vitritis. However, the cause of the S. mitis bacteremia was unclear. Considering the patient's recent dental implant procedure, we hypothesized that the bacteria may have entered the bloodstream through the oral cavity. The patient received intravitreal and systemic antibiotics and underwent pars plana vitrectomy for the right eye. In conclusion, we present a case of endogenous endophthalmitis, presumed following a dental implant procedure. S. mitis may invade the bloodstream following an uncomplicated dental procedure, leading to bilateral endogenous endophthalmitis. Early detection, prompt management with systemic and intravitreal antibiotics, and early vitrectomy may potentially preserve the patient's globe and vision.

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来源期刊
Annals of African Medicine
Annals of African Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
0.90
自引率
0.00%
发文量
31
期刊介绍: The Annals of African Medicine is published by the Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria and the Annals of African Medicine Society. The Journal is intended to serve as a medium for the publication of research findings in the broad field of Medicine in Africa and other developing countries, and elsewhere which have relevance to Africa. It will serve as a source of information on the state of the art of Medicine in Africa, for continuing education for doctors in Africa and other developing countries, and also for the publication of meetings and conferences. The journal will publish articles I any field of Medicine and other fields which have relevance or implications for Medicine.
期刊最新文献
A Quasi-Experimental Study to Evaluate the Effectiveness of Hot Water Footbath Therapy on Quality of Sleep among Cancer Patients. Awareness of Peptic Ulcer Disease among the General Population in Al-Ahsa. Bilateral Endogenous Streptococcus mitis Endophthalmitis Following Dental Implant: A Case Report and Literature Review. Before Venous Sinus Thrombosis is Attributed to Hyperhomocysteinemia, Alternative Causes Must be Thoroughly Ruled Out. Bilateral Corneal Endotheliitis Following Corneal Cross-linking with Riboflavin and Ultraviolet A.
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