著者

宗像 源博 中野 佳央 新中 康史 樋口 雅俊 原田 清

出版者

Japanese Stomatological Society

雑誌

日本口腔科学会雜誌 (ISSN:00290297)

巻号頁・発行日

vol.59, no.3, pp.123-127, 2010-07-10

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Endogenous bacterial endophtalmitis is a rare but serious condition. It occurs in the eyeball when bacteria cross the blood-ocular barrier. We report a case of endogenous bacterial endopthalmitis arising from severe periodontitis without any noticeable systemic anamnestic.<br>A 53-year-old man was referred to the ophthalmology department in our university hospital complaining of reduced visual acuity in the right eye. His visual acuity was hand movements right and 0.7 left eye, respectively. His right eye showed hypopyon, dense vitreous opacity and retinal hemorrhages. Because of a finding peculiar to infective endocarditis from an echocardiography, we diagnosed the patient with endogenous endophthalmitis that caused infective endocarditis. Although there was no infection impact on his general condition, <i>α-streptococcus</i> was detected in his blood culture examination. Therefore, he was referred to our clinic for oral examination and care. He was diagnosed with chronic periodontitis and severe resorption of alveolar bone and gum swelling by oral examination and X-rays. The <i>α-streptococcus</i> was detected in a bacterial examination of the exudate from the gingival pocket. Fourteen teeth with severe periodontitis were extracted. The visual acuity in the right eye increased up to 0.07 at 6 months after the teeth extraction.<br>Though bacteriological identification was not accomplished completely, the endogenous endophtalmitis in the present case seemed to be affected with mitral regurgitation and vegetation, following infective endocarditis by oral <i>Streptococci</i>.