转移性细菌性眼内炎22例临床报告(英文)

Clinical characteristics of metastatic bacterial endophthalmitis in 22 cases

目的:探讨转移性细菌性眼内炎的临床特点。方法:回顾性分析了我科近年诊治的22例转移性细菌性眼内炎的临床特点。结果:出现眼部症状前有身体其它部位感染者17例(77%);早期眼部检查2例虹膜面有脓性结节,3例视网膜可见黄白色脓性栓塞灶(23%);全部病例早期血液化验示白细胞总数和中性分叶核细胞数明显升高,淋巴细胞计数明显降低;细菌培养阳性率为36%。结论:转移性细菌性眼内炎患者发病前常有身体其它部位感染史,早期临床表现和实验室检查有一定的特异性,细菌培养是确定诊断的可靠方法,但是培养技术有待进一步提高。

· AIM: To study the clinical characteristics of metastatic bacterial endophthalmitis.· METHODS: Twenty-two cases of metastatic bacterial endophthalmitis were retrospectively studied.· RESULTS: Extraocular infected location before ocular manifestation was found in 17 cases (77%), iridal purulent nodules in 2 cases and retinal purulent embolism in 3 cases. The total number of leucocytes and neutrophilic granulocytes was elevated markedly, while lymphocyte count was reduced significantly in early stage. Positive rate of bacterial cultivation was 36%. · CONCLUSION: Patients with metastatic bacterial endophthalmitis often have apparent extraocular infected situation before eye is involved. Ocular appearance and laboratory examination have some specificity in early stage, while bacterial cultivation, as a golden standard, needs to be further improved.·