Endophthalmitis as a Complication of Meningococcal Meningitis: Report of One Case

腦膜炎球菌腦膜炎併發之眼內炎：一病例報告

錢世盈(Shih-Ying Chien) ； 宋增銓(Tseng-Chen Sung) ； 穆淑琪(Shu-Chi Mu) ； 胡朝乾(Chao-Chien Hu)

《Acta Paediatrica Sinica》 40卷2期 (1999/04) Pp. 116-118

https://doi.org/10.7097/APS.199904.0154

摘要

轉移性腦膜炎球菌眼內炎並不常見，卻是一個病程進展快速，且可能造成失明的發炎性疾病。我們報告一位10個月大腦膜炎球菌腦膜炎併發單側眼內炎之病例，確定診斷後，積極給予全身性及玻璃體內抗生素及類固醇的注射治療。這個病例提醒我們腦膜炎併發的眼內炎即使經過積極治療仍有失明之虞。

關鍵字

眼內炎 ； 腦膜炎球菌 ； 腦膜炎

並列摘要

Metastatic meningococcal endophthalmitis, although rare, is a rapidly progressive and sight-threatening infection. We present a 10-month-old infant with meningococcal meningitis who developed unilateral metastatic endophthalmitis. If patients develop a sepsis-like picture with cloudy cornea and purulent conjunctivitis, we have to consider the possibility of endophthalmitis and full ophthalmological evaluations are indicated. Treatment should be started as early as possible. The outcome of endophthahmitis is frequently permanent visual impairment. Endophthalmitis is a true medical emergency requiring early antibiotic therapy with full dose of antimicrobials to avoid morbidity and blindness.

並列關鍵字

endophthalmitis ； Neisseria meningitides ； meningitis