Acute subretinal abscess in Staphylococcus aureus septicaemia with endophthalmitis showcased by multimodal retinal imaging and with 2-year follow-up
| Autor: | Rita Prajapati, Pippa Newton, Simon P Kelly, Sameena Ahmad |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
0301 basic medicine retina genetic structures HIV Infections Fundus (eye) medicine.disease_cause infectious diseases Multimodal Imaging Eye Infections Bacterial 0302 clinical medicine Endophthalmitis Abscess Latent Syphilis General Medicine Staphylococcal Infections eye Anti-Bacterial Agents Treatment Outcome Staphylococcus aureus Retinal imaging Administration Intravenous medicine.symptom medicine.drug medicine.medical_specialty 030106 microbiology Vision Disorders Asymptomatic Floxacillin Diagnosis Differential 03 medical and health sciences Retinal Diseases Sepsis medicine Humans Syphilis Unusual Presentation of More Common Disease/Injury business.industry Correction medicine.disease eye diseases Surgery ophthalmology Early Diagnosis HIV / AIDS 030221 ophthalmology & optometry Flucloxacillin business |
| Zdroj: | BMJ Case Reports |
| ISSN: | 1757-790X |
| Popis: | A middle-aged man presented to emergency services with central vision loss in the setting of flu-like illness with fever. A striking subfoveal abscess was observed in the right fundus. Focal acute chorioretinal inflammation was noted in the asymptomatic fellow eye. Staphylococcus aureus septicaemia was subsequently diagnosed. He presented with undiagnosed HIV infection and latent syphilis. Serial high-definition multimodal retinal imaging showcased resolution of the dome-shaped subretinal abscess following treatment with intravenous flucloxacillin. A chorioretinal scar swiftly replaced the subfoveal abscess. Peripheral right vision and full left vision was retained. Vision loss due to endogenous endophthalmitis in systemic sepsis is an emergency requiring prompt multidisciplinary care. Sight and life are at risk—thus this is not a diagnosis to miss! Early recognition is paramount to health and in retaining vision. We briefly review relevant literature and portray how multimodal imaging guided response to treatment of acute subretinal abscess. |
| Databáze: | OpenAIRE |
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