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화농성 척추염과 관련된 양안 시신경부종

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Author(s)
장지혜김유철
Alternative Author(s)
Jang, Ji HyeKim, Yu Cheol
Publication Year
2020
Keyword
Optic discRetropharyngeal abscessSpondylitis
Abstract
Purpose:
To report an uncommon case of bilateral optic disc edema as a complication of cervical pyogenic spondylitis.

Case summary:
A 48-year-old male patient was diagnosed with C2 spondylodiscitis with direct extension from a retropharyngeal abscess. He had received intravenous nafcillin for coverage against methicillin-sensitive Staphylococcus aureus. After 3 weeks, he complained of blurred vision in both eyes. Fundus examination showed bilateral optic disc swelling with peripapillary flame-shaped hemorrhages, radiating hard exudates at the papillomacular area. After 8 weeks of continuous antibiotic therapy, the patient recovered slowly.

Conclusions:
Involvement of the bilateral optic nerve with the cervical pyogenic spondylitis is uncommon. If a patient with the cervical pyogenic spondylitis complains of blurred vision or other ocular symptoms, ophthalmologists and neurologists should be aware of ocular complications.
Alternative Title
Bilateral Optic Disc Edema Associated with Pyogenic Spondylitis
Department
Dept. of Ophthalmology (안과학)
Publisher
School of Medicine (의과대학)
Citation
Journal of Retina, Vol.5(1) : 66-69, 2020
Type
Article
ISSN
2508-3589
DOI
10.21561/jor.2020.5.1.66
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/42763
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