[Endogenous endophthalmitis: case report and brief review of a serious ocular disease].
| Autor: | Asencio-Egea MA; Laboratorio de Microbiología, Hospital General La Mancha, Alcázar de San Juan, España., Huertas-Vaquero M, Carranza-González R, Cells-Sánchez J, González-del Valle F, Tenías-Burillo JM, Barberá-Farré JR |
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| Jazyk: | Spanish; Castilian |
| Zdroj: | Revista chilena de infectologia : organo oficial de la Sociedad Chilena de Infectologia [Rev Chilena Infectol] 2013 Oct; Vol. 30 (5), pp. 516-21. |
| DOI: | 10.4067/S0716-10182013000500009 |
| Abstrakt: | Introduction: Endogenous endophthalmitis (EE) is a prevalent but serious disease. Our aim was to describe cases of EE, with emphasis in the risk factors and the improvement of the prognosis. Methods: A review of EE cases was done between 1996-2011 in a secondary care hospital in Spain. The reported variables were: comorbidities, isolated microorganisms, susceptibility to antimicrobial treatment and visual prognosis. Results: 9 cases of EE were analyzed. All had some underlying disease, diabetes mellitus being the most frequent. Seven of the nine cases had a history of eye injury. Extraocular source of infection was identified in 7 cases, with predominantly gastrointestinal disease. Most microorganisms were isolated from blood cultures. The visual prognosis was unfavorable in five patients and was associated with virulent microorganisms and delayed treatment. Conclusions: EE is a rare disease that involve immunocompromised patients with ophthalmic disease. To improve prognosis, appropriate diagnosis and early treatment is require. Therefore, we recommend funduscopy examination in patients with sepsis, risk factors and prior history of ocular disease. |
| Databáze: | MEDLINE |
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