Haemophilus Influenzae Endogenous Endophthalmitis in an Immunocompetent Host
| Autor: | Henar Heras Mulero, Daniel Aliseda Pérez De Madrid, Marcos Mozo Cuadrado, Esther Compains Silva, Laura Tabuenca Del Barrio |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
Pars plana Ganciclovir medicine.medical_specialty Haemophilus Infections Adolescent genetic structures medicine.medical_treatment Visual Acuity Vitrectomy Cataract Extraction Cefotaxime Endotamponade Hypopyon Slit Lamp Microscopy medicine.disease_cause Ceftazidime Eye Infections Bacterial Haemophilus influenzae Immunocompromised Host 03 medical and health sciences 0302 clinical medicine Endophthalmitis Ciprofloxacin Ophthalmology medicine Humans Immunology and Allergy Infusions Intravenous 030203 arthritis & rheumatology business.industry medicine.disease eye diseases Anti-Bacterial Agents Vitreous Body medicine.anatomical_structure Intravitreal Injections 030221 ophthalmology & optometry Drug Therapy Combination sense organs Tamponade Vasculitis business medicine.drug |
| Zdroj: | Ocular Immunology and Inflammation. 29:1381-1383 |
| ISSN: | 1744-5078 0927-3948 |
| DOI: | 10.1080/09273948.2020.1767794 |
| Popis: | Purpose: To report a case of endogenous endophthalmitis caused by Haemophilus influenzae in an immunocompetent host.Case report: A 13-year-old male presented with pain, blurriness, and decreased Visual Acuity (VA) of Hand Motion in his right eye. Slit-lamp examination revealed hypopyon. Fundoscopy showed vitritis, vasculitis, and retinal infiltrates. Echography revealed vitreous condensations. Empirical treatment with intravitreal Ganciclovir, oral Valacyclovir, and Dexamethasone was initiated with no improvement. Vitreous culture revealed Haemophilus influenzae growth. Then, intravenous Ciprofloxacin and Cefotaxime and intravitreal Ceftazidime were administered with gradual improvement. Lensectomy with Pars Plana Vitrectomy and intraocular tamponade was performed. Nevertheless, the visual outcome was poor.Conclusion: Pediatric endogenous bacterial endophthalmitis is a rare but potentially devastating infection which is often misdiagnosed. Moreover, we want to highlight the importance of an adequate clinical suspicion in cases of H. influenzae to prevent the serious complications seen in this report. |
| Databáze: | OpenAIRE |
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