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A case of endogenous endophthalmitis caused by methicillin-resistant Staphylococcus aureus Yasuko Akizawa 1 , Natsuko Nagaoka 1 , Takao Hirowatari 1 1Dept of Ophthalmol,Ebara Hosp pp.541-544
Published Date 2012/4/15
DOI https://doi.org/10.11477/mf.1410104173
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Abstract. Purpose:To report a case of endodphthalmitis caused by methicillin-resistant Staphylococcus aureus(MRSA). Case:A 49-year-old male had been receiving insulin injection for type-2 diabetes mellitus. After an episode of carbon monoxide poisoning,he started receiving hyperbaric oxygenation and pulse therapy of corticosteroid under intravenous hyperalimentation(IVH). He showed signs of systemic infection 94 days after start of treatment necessitating removal of IVH catheter. MRSA was detected from the tip of the catheter. He noticed pain and impaired vision in the left eye 2 days later. Findings:Visual acuity in the left eye was counting fingers. The left eye showed hypopyon,rubeosis iridis and retinal detachment by echography. MRSA was cultured from the vitreous obtained during surgery. The left eye became phthisic later. Conclusion:This case illustrates that endophthalmitis due to MRSA may develop following IVH in compromised cases.


Copyright © 2012, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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