BILATERAL ENDOGENOUS ENDOPHTHALMITIS FROM STREPTOCOCCUS PNEUMONIAE
| Autor: | Amit Sangave, Uday R Desai, Thérèse M. Sassalos, Nathan D. Farley, Desiree C Albert, Daniel A. Brill |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Visual acuity genetic structures medicine.drug_class Antibiotics Endogenous endophthalmitis Visual Acuity Case Report Bacteremia medicine.disease_cause Ceftazidime Dexamethasone Eye Infections Bacterial Pneumococcal Infections Sepsis 03 medical and health sciences 0302 clinical medicine Blurred vision Vancomycin Streptococcus pneumoniae endogenous medicine Endocarditis Humans bacterial Glucocorticoids tooth extraction Endophthalmitis business.industry Osteomyelitis General Medicine Middle Aged medicine.disease otitis externa eye diseases Surgery Anti-Bacterial Agents Vitreous Body Ophthalmology 030221 ophthalmology & optometry Drug Therapy Combination medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Retinal Cases & Brief Reports |
| ISSN: | 1937-1578 1935-1089 |
| Popis: | Endogenous endophthalmitis is a rare, vision-threatening, and potentially life-threatening disease that necessitates prompt, aggressive treatment, and thorough medical evaluation. We report a case of bilateral endogenous endophthalmitis from Streptococcus pneumoniae and its ophthalmologic and systemic sequelae. Purpose: To report a case of bilateral endogenous endophthalmitis from Streptococcus pneumoniae with devastating sequelae. Methods: Interventional case report. Results: A 56-year-old man presented with acute bilateral blurred vision and floaters with fever and hemodynamic instability. Previously, he was diagnosed with acute otitis externa and reported manually extracting several of his own teeth. He underwent a vitreous tap and intravitreal antibiotic injections. Blood and vitreous cultures were positive for S. pneumoniae. The patient later developed life-threatening medical sequelae. His final visual acuity was no light perception in the right eye and 20/25 in the left eye. Conclusion: Diagnosing endogenous endophthalmitis early is essential to initiating a systemic evaluation for potentially life-threatening medical conditions, including sepsis, endocarditis, and osteomyelitis. A high degree of suspicion, expeditious treatment, and interdisciplinary collaboration are essential to maximizing patient outcomes. |
| Databáze: | OpenAIRE |
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