CAJ | 학술논문

收治1例患右膝脓毒性关节炎的20岁女性患者.关节疼痛发作2wk后,主诉两眼视力逐步模糊.裂隙灯检查发现前、后段炎症.双眼底多发脉络膜视网膜病变.右膝关节液抽吸和血培养有金黄色葡萄球菌生长.患者对局部和全身抗生素反应良好.双眼的最终视力为6/6.这一病例显示了并发脓毒性关节炎的免疫功能正常的年轻患者呈现双侧内源性眼内炎的罕见表现.早期诊断和及时治疗带来良好的预后视力.
수치1례환우슬농독성관절염적20세녀성환자.관절동통발작2wk후,주소량안시력축보모호.렬극등검사발현전、후단염증.쌍안저다발맥락막시망막병변.우슬관절액추흡화혈배양유금황색포도구균생장.환자대국부화전신항생소반응량호.쌍안적최종시력위6/6.저일병례현시료병발농독성관절염적면역공능정상적년경환자정현쌍측내원성안내염적한견표현.조기진단화급시치료대래량호적예후시력.
·A 20-year-old healthy lady was admitted for septic arthritis in the right knee. Two weeks after the onset of joint pain, she complained progressive blurring of vision in both eyes. Slit-lamp examination revealed evidence of inflammation in both anterior and posterior segments. There were multiple chorioretinal lesions on both fundi. Synovial fluid aspiration of the right knee and blood culture grew Staphylococcus aureus . She responded well to topical and systemic antibiotics. Her final visual acuity was 6/6 in both eyes. This case illustrates a rare presentation of bilateral endogenous endophthalmitis in an immunocompetent young patient presenting with a concurrent septic arthritis. Early diagnosis and a prompt management carry a favorable visual prognosis.