Bilateral enucleation due to multi-bacterial fulminant endogenous panophthalmitis

Autor:	T A, Chaparro Tapias, C M, Rangel Gualdron, H A, Rodriguez, L M, Rodriguez, L, Flores de Los Reyes, J C, Sánchez España
Rok vydání:	2019
Předmět:	Coinfection Corneal Perforation Candidiasis Panophthalmitis Middle Aged Orbital Cellulitis Combined Modality Therapy Eye Enucleation Anti-Bacterial Agents Klebsiella Infections Klebsiella pneumoniae Disease Progression Humans Female
Zdroj:	Archivos de la Sociedad Espanola de Oftalmologia. 95(1)
ISSN:	2173-5794
Popis:	The case is presented of a 62 year-old woman with a rapid, progressive bilateral decrease in visual acuity and panuveitis with orbital cellulitis. She was also in poor general condition, with emesis and fever. Septicaemia due to Klebsiella pneumoniae and bilateral endogenous panophthalmitis were diagnosed. The ocular infection quickly progressed to sclerokeratitis and bilateral perforation despite broad spectrum systemic antibiotic management, and eventually the patient required bilateral enucleation. Microbiological cultures of the surgical pieces identified Klebsiella pneumoniae and Candida magnoliae. To our knowledge, this is the third published case that required bilateral enucleation or evisceration due to endogenous panophthalmitis, and the first case of endogenous ocular infection caused by Candida magnoliae.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid________::747e3fd143299de6fbaf1a774ac3587a https://pubmed.ncbi.nlm.nih.gov/31767407 Zobrazit plný text záznamu Full Text from ScienceDirect