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BILATERAL ENDOGENOUS ENDOPHTHALMITIS FROM STREPTOCOCCUS PNEUMONIAE

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 diag...

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Autores principales: Brill, Daniel A., Farley, Nathan D., Albert, Desiree C., Sassalos, Therese M., Sangave, Amit A., Desai, Uday R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Retinal Cases & Brief Reports 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7899744/
https://www.ncbi.nlm.nih.gov/pubmed/29994996
http://dx.doi.org/10.1097/ICB.0000000000000760
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author Brill, Daniel A.
Farley, Nathan D.
Albert, Desiree C.
Sassalos, Therese M.
Sangave, Amit A.
Desai, Uday R.
author_facet Brill, Daniel A.
Farley, Nathan D.
Albert, Desiree C.
Sassalos, Therese M.
Sangave, Amit A.
Desai, Uday R.
author_sort Brill, Daniel A.
collection PubMed
description 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.
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spelling pubmed-78997442021-03-01 BILATERAL ENDOGENOUS ENDOPHTHALMITIS FROM STREPTOCOCCUS PNEUMONIAE Brill, Daniel A. Farley, Nathan D. Albert, Desiree C. Sassalos, Therese M. Sangave, Amit A. Desai, Uday R. Retin Cases Brief Rep Case Report 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. Retinal Cases & Brief Reports 2021-03 2018-07-06 /pmc/articles/PMC7899744/ /pubmed/29994996 http://dx.doi.org/10.1097/ICB.0000000000000760 Text en Copyright © 2018 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the Opthalmic Communications Society, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Report
Brill, Daniel A.
Farley, Nathan D.
Albert, Desiree C.
Sassalos, Therese M.
Sangave, Amit A.
Desai, Uday R.
BILATERAL ENDOGENOUS ENDOPHTHALMITIS FROM STREPTOCOCCUS PNEUMONIAE
title BILATERAL ENDOGENOUS ENDOPHTHALMITIS FROM STREPTOCOCCUS PNEUMONIAE
title_full BILATERAL ENDOGENOUS ENDOPHTHALMITIS FROM STREPTOCOCCUS PNEUMONIAE
title_fullStr BILATERAL ENDOGENOUS ENDOPHTHALMITIS FROM STREPTOCOCCUS PNEUMONIAE
title_full_unstemmed BILATERAL ENDOGENOUS ENDOPHTHALMITIS FROM STREPTOCOCCUS PNEUMONIAE
title_short BILATERAL ENDOGENOUS ENDOPHTHALMITIS FROM STREPTOCOCCUS PNEUMONIAE
title_sort bilateral endogenous endophthalmitis from streptococcus pneumoniae
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7899744/
https://www.ncbi.nlm.nih.gov/pubmed/29994996
http://dx.doi.org/10.1097/ICB.0000000000000760
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