Endophthalmitis: Diagnosis and Treatment - download pdf or read online
By Lee, Paul J.
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Additional info for Endophthalmitis: Diagnosis and Treatment
Inhibition of migration of macrophages and neutrophils. • Suppression of lymphocyte proliferation. • Suppression of action of cytokines. • Inhibition of DTH/CMI by decreasing recruitment of macrophages. • Alteration of antigen processing by macrophages. • Depression of bactericidal activity of monocytes and macrophages. Corticosteroids inhibit cytokine release with additional suppression of PMN activity, explaining the progression of fungal, protozoal, or parasitic infections in their presence; these latter infections especially require macrophages as ‘scavenger’ cells.
2 Biochemical tests Tests for distinguishing Grampositive organisms Catalase test This test distinguishes Staphylococcus organisms, which are catalasepositive, from Streptococcus species, which are catalasenegative, Catalase is a selfdefense enzyme employed by certain Grampositive bacteria to neutralize hydrogen peroxide, which is toxic to the bacteria. 2H2O2 catalase 2H2O+O2 Gas that is produced as O2 can be seen as a white froth after adding a few drops of 3% H202. Clot formation in the test tube indicates a positive test.
Adult diseases include meningitis, endocarditis, and pneumonia. Lancefield groups C and G streptococci are betahemolytic and cause pyogenic infections, including endophthalmitis in the elderly and compromised individuals. durans, respectively. 3 Long chains of Bacillus species in culture; may form spores in human tissue, which does not occur with Clostridium perfringens. Other enterococcal infections include meningitis and bacteremia in ill neonates; central nervous system infections in adults, typically with a history of central nervous system surgery or intrathecal chemotherapy; and rarely, osteomyelitis and pulmonary infections.