Affordable Access

Publisher Website

Failure of systemic antibiotic in preventing sequential endogenous endophthalmitis of a bronchiectasis patient

Authors
Journal
American Journal of Ophthalmology
0002-9394
Publisher
Elsevier
Publication Date
Volume
139
Issue
3
Identifiers
DOI: 10.1016/j.ajo.2004.08.058

Abstract

Purpose To report a rare presentation of bilateral, sequential Pseudomonas aeruginosa endogenous endophthalmitis in a woman with bronchiectasis. Design Interventional case report. Methods A 69-year-old woman with bronchiectasis developed right and then left endogenous endophthalmitis with the microbial of P. aeruginosa, even though a course of 3-week intravenous ceftazidime antibiotic was prescribed. Results The presentation of endogenous endophthalmitis in the right eye was late, and final visual acuity was hand movements. The condition was recognized much earlier in the left eye, and the infection was treated early on with vitrectomy and intravitreal antibiotics. Visual acuity at 1 year was stable at 20/40. Conclusion Systemic antibiotic failed to eradicate the primary source of Pseudomonas infection in the bronchiectasis patient. Unusual, painful red eye may be the presenting feature of endogenous endophthalmitis. Early vitrectomy may be considered in endogenous endophthalmitis caused by virulent pathogens such P. aeruginosa.

There are no comments yet on this publication. Be the first to share your thoughts.

Statistics

Seen <100 times
0 Comments

More articles like this

Failure of systemic antibiotic in preventing seque...

on American journal of ophthalmol... March 2005

Aspergillus terreus endogenous endophthalmitis in...

on Ocular immunology and inflamma... June 2013

Antibiotic-induced endotoxemia in a patient with e...

on Acta ophthalmologica Scandinav... February 1999

Bacterial endophthalmitis: culture proven failure...

on Annals of ophthalmology December 1981
More articles like this..