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Accession number;99A0465600
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| Title;A Case of Diabetic Patient with Group B Streptococcal Metastatic Endophthalmitis. |
| Author;
MURASE YUKO
(Komatsu Munic. Hosp.)
YOSHIMOTO SACHIKO
(Komatsu Munic. Hosp.)
UEDA KOSEI
(Komatsu Munic. Hosp.)
NOTO MINORU
(Komatsu Munic. Hosp.)
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Journal Title;Journal of the Japan Diabetic Society
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Journal Code:Z0279B
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ISSN:0021-437X
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VOL.42;NO.3;PAGE.215-219(1999)
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| Figure&Table&Reference;FIG.3, TBL.1, REF.9 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;We present a case of a 69-year-old diabetic woman with group B streptococcal metastatic endophthalmitis. After the onset of diabetes at age 59, her glycemic control was poor. She was admitted to our hospital because of bilateral loss of vision. On admission, she suffered from cellulitis in her right gluteal region, and both blood and vitreal cultures were positive for group B streptococcus. Her diagnosis was group B streptococcal metastatic endophthalmitis, and she was treated with intravitreal injection of imipenem/cilastatin and intravenous injection of imipenem/cilastatin, clindamysin and piperacillin sodium. Eventually, she underwent bilateral enucletion. Diabetes mellitus is reported as the most frequent risk factor of metastatic bacterial endophthalmitis. Therefore, for immediate diagnosis, physicians should consider that diabetic patients who present with both systemic infection and acute ocular symptoms may have an endogenous infection. (author abst.) |
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