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British Journal of Medicine and Medical Research, ISSN: 2231-0614,Vol.: 4, Issue.: 34 (01-10 December)

Case Study

Bilateral Endogenous Endophthalmitis in an Asian Female

 

Jesa Nadine V. Protasio1 and Archimedes L. D. Agahan1*

1Sentro Oftalmologico Jose Rizal, Philippine General Hospital, University of the Philippines Manila, Ermita, Manila, 1000, Philippines.

Article Information

Editor(s):

(1) Dr. Oswin Grollmuss, Head of Department of Pediatric and Adult Resuscitation Congenital Heart of Centre, Chirurgical Marie Lannelongue, University Paris XI , France.

Reviewers:

(1) Anonymous

(2) Charbell Miguel Haddad Kury, Federal University of Rio de Janeiro, Brazil. Department of Public Health, Medical School of Campos dos Goytcazes, Brazil.

Complete Peer review History: http://www.sciencedomain.org/review-history/5469

Abstracts

Aims: To report a case of bilateral endogenous endophthalmitis in an elderly Asian female.
Presentation of Case: An elderly Filipino female complaining of sudden blurring of vision of the right eye sought consult at our institution. Ophthalmologic examination, and vitreous tap were done for both eyes and systemic work-up was facilitated to localize the source of infection. Vitreous sample of the right eye yielded positive for Klebsiella pneumoniae, but cultures were sterile on the left. Systemic work-up revealed a complicated nephrolithiasis. Within 24 hours of her admission, vision rapidly deteriorated to no light perception. There was no return in vision despite systemic and topical antibiotic treatment.
Discussion: Endogenous endopthalmitis is a relatively rare condition. Among Asians, the patient at highest risk for endogenous endophthalmitis is a diabetic with Klebsiella hepatobiliary infection. However, this patient was found to have a urinary tract infection.
Conclusion: Klebsiella pneumoniae endopthalmitis confers a poor prognosis necessitating a high index of suspicion and early intervention.

Keywords :

Endophthalmitis; Klebsiella pneumonia; case report.

Full Article - PDF    Page 5381-5384

DOI : 10.9734/BJMMR/2014/12352

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