Bee sting presumed endophthalmitis: a devastating ocular outcome
| Autor: | Huda Al Ghadeer, Ahmed R. Al Gethami, Mohammed Al Amry |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Microbiological culture Visual acuity genetic structures medicine.medical_treatment Salvage therapy Case Report Injury Endophthalmitis Ocular medicine Panophthalmitis Bee Evisceration (ophthalmology) business.industry RE1-994 medicine.disease eye diseases Surgery Ophthalmology Sting Cellulitis sense organs medicine.symptom business |
| Zdroj: | International Journal of Retina and Vitreous, Vol 7, Iss 1, Pp 1-4 (2021) International Journal of Retina and Vitreous |
| ISSN: | 2056-9920 |
| DOI: | 10.1186/s40942-021-00320-w |
| Popis: | BackgroundTo report a rare case of bee sting presumed endophthalmitis that resulted in a devastating ocular outcome.Case presentationA 43-year-old patient presented 24 h after bee sting ocular injury in his left eye. He had a mild inflammatory sign at presentation, and he underwent surgical exploration to rule out a scleral defect, which revealed a sealed defect. During his hospital course, he developed signs of endophthalmitis 48 h following trauma for which he received vitreous tap and intravitreal antibiotic. Microbial culture revealed gram-negative rods,Pseudomonas aeruginosa, andAeromonas veronii. Condition escalated to reach the panophthalmitis stage and cellulitis like picture with visual acuity of no light perception. Visual evoked response (VER) demonstrated a flat response. Infection was controlled by evisceration of the globe at the end as salvage therapy against the spreading of infectionConclusionsBee sting ocular injury is an exceedingly rare type of ocular trauma. Concomitant infection can happen, and severity depends on the pathogen involved. It is crucial to have insight and start appropriate treatment based on to the patient presentation. |
| Databáze: | OpenAIRE |
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