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Endophthalmitis diagnosis supported by bedside ultrasound

Endophthalmitis is a bacterial or fungal infection in the deep spaces of the eye. The diagnosis of endophthalmitis has traditionally been made by vitreous humor culture and is commonly missed on initial presentation. In this case report, we emphasize the role of ocular point‐of‐care ultrasound (POCU...

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Autores principales: Gong, Jing Jing, Perkins, William, Frenkel, Jerry, Greco, Jeff, Desmond‐Combs, Kallie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9463567/
https://www.ncbi.nlm.nih.gov/pubmed/36176502
http://dx.doi.org/10.1002/emp2.12802
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author Gong, Jing Jing
Perkins, William
Frenkel, Jerry
Greco, Jeff
Desmond‐Combs, Kallie
author_facet Gong, Jing Jing
Perkins, William
Frenkel, Jerry
Greco, Jeff
Desmond‐Combs, Kallie
author_sort Gong, Jing Jing
collection PubMed
description Endophthalmitis is a bacterial or fungal infection in the deep spaces of the eye. The diagnosis of endophthalmitis has traditionally been made by vitreous humor culture and is commonly missed on initial presentation. In this case report, we emphasize the role of ocular point‐of‐care ultrasound (POCUS) in revealing endophthalmitis as a primary differential diagnosis for a patient presenting with unilateral eye pain and significant swelling that limited physical examination of the eye. Here, the patient's initial clinical examination was more suggestive of an alternative diagnosis, orbital cellulitis, which could have delayed the highly morbid and time‐sensitive diagnosis of endophthalmitis. Although POCUS is traditionally enlisted for other posterior ophthalmic pathologies, including retinal detachment, vitreous detachment, vitreous hemorrhage, and papilledema, this rare case of endophthalmitis secondary to hepatic abscess demonstrates the utility of bedside ocular ultrasound as a tool to distinguish endophthalmitis from mimicking differentials when physical examination is unable to do so.
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spelling pubmed-94635672022-09-28 Endophthalmitis diagnosis supported by bedside ultrasound Gong, Jing Jing Perkins, William Frenkel, Jerry Greco, Jeff Desmond‐Combs, Kallie J Am Coll Emerg Physicians Open Ophthalmology Endophthalmitis is a bacterial or fungal infection in the deep spaces of the eye. The diagnosis of endophthalmitis has traditionally been made by vitreous humor culture and is commonly missed on initial presentation. In this case report, we emphasize the role of ocular point‐of‐care ultrasound (POCUS) in revealing endophthalmitis as a primary differential diagnosis for a patient presenting with unilateral eye pain and significant swelling that limited physical examination of the eye. Here, the patient's initial clinical examination was more suggestive of an alternative diagnosis, orbital cellulitis, which could have delayed the highly morbid and time‐sensitive diagnosis of endophthalmitis. Although POCUS is traditionally enlisted for other posterior ophthalmic pathologies, including retinal detachment, vitreous detachment, vitreous hemorrhage, and papilledema, this rare case of endophthalmitis secondary to hepatic abscess demonstrates the utility of bedside ocular ultrasound as a tool to distinguish endophthalmitis from mimicking differentials when physical examination is unable to do so. John Wiley and Sons Inc. 2022-09-10 /pmc/articles/PMC9463567/ /pubmed/36176502 http://dx.doi.org/10.1002/emp2.12802 Text en © 2022 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of American College of Emergency Physicians. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Ophthalmology
Gong, Jing Jing
Perkins, William
Frenkel, Jerry
Greco, Jeff
Desmond‐Combs, Kallie
Endophthalmitis diagnosis supported by bedside ultrasound
title Endophthalmitis diagnosis supported by bedside ultrasound
title_full Endophthalmitis diagnosis supported by bedside ultrasound
title_fullStr Endophthalmitis diagnosis supported by bedside ultrasound
title_full_unstemmed Endophthalmitis diagnosis supported by bedside ultrasound
title_short Endophthalmitis diagnosis supported by bedside ultrasound
title_sort endophthalmitis diagnosis supported by bedside ultrasound
topic Ophthalmology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9463567/
https://www.ncbi.nlm.nih.gov/pubmed/36176502
http://dx.doi.org/10.1002/emp2.12802
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