Endogenous E. coli endophthalmitis

Shammas, Hanna F.

doi:10.1016/0039-6257(77)90044-3

Cited by 35 publications

(25 citation statements)

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“…Shammas [8] reviewed 102 cases of endogenous endophthalmitis from 1935 to 1976 and noted the majority of cases were secondary to Neisseria meningitides or Streptococcus pneumococcus. Greenwald [2] reviewed 76 cases from 1976 to 1986 and noted the spectrum of organisms causing endogenous endophthalmitis had changed, with Bacillus cereus causing the most cases, particularly among intravenous drug abusers.…”

Section: Discussionmentioning

confidence: 99%

Endogenous Pseudomonas aeruginosa endophthalmitis: a case report and literature review

Reedy

Wood

2000

Intensive Care Med

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Endogenous endophthalmitis is a vision-threatening condition that results from the hematogenous spread of infection to the eye that originated in a distant primary focus. Although it has long been recognized that bloodborne organisms can infect the eye, endogenous bacterial endophthalmitis is considered a rare entity. We present a unique case of a critically ill patient with a cholangiocarcinoma complicated by ascending cholangitis who developed endogenous Pseudomonas aeruginosa endophthalmitis. An awareness of the risk factors predisposing to endogenous endophthalmitis and a high clinical suspicion are necessary to make an early diagnosis in the intensive care unit. Management involves an aggressive combined medical and surgical approach in an effort to prevent ocular morbidity and vision loss.

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Section: Discussionmentioning

confidence: 99%

Endogenous Pseudomonas aeruginosa endophthalmitis: a case report and literature review

Reedy

Wood

2000

Intensive Care Med

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“…During the preantibiotic era, patients with disseminated bacteremic infections were well-known to be at risk for ocular involvement, particularly for severe endogenous panophthalmitis [7,8]. In 1923 Seguini [7] reviewed 342 cases of chorioretinitis and endogenous panophthalmitis caused by Streptococcus pneumoniae and b-hemolytic streptococci, and in 1940 Lewis [9] reported 23 cases of meningococcal panophthalmitis among 350 cases of meningococcal infections reported during 1893-1939.…”

mentioning

confidence: 99%

A Prospective Search for Ocular Lesions in Hospitalized Patients with Significant Bacteremia

Bouza

Cobo-Soriano

Rodríguez‐Créixems

et al. 2000

Clinical Infectious Diseases

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The purpose of this study was to determine the prevalence, risk factors, and prognostic value of ocular lesions in unselected patients with bacteremia. A total of 202 bacteremic patients, 101 nonbacteremic septic patients, and 90 nonseptic control patients were compared in a prospective, controlled, observational study. Ocular lesions related to bacteremia were found in 12% of the bacteremic group, 5% of the septic group, and 2% of the control group. Ocular lesions were significantly more frequent in the bacteremic patients than in the control patients (P=.007). The severity of the clinical condition and the presence of fungemia predict independently a higher risk of ocular lesions. Mortality rates among bacteremic patients with and without ocular lesions were, respectively, 32% and 8% (P<.01; OR, 3.99). The asymptomatic nature of most ocular lesions in patients with bloodstream infections and the impossibility of amelioration in most cases lead us to recommend ophthalmologic examination for bacteremic patients only when prognostic information is needed.

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“…A wide variety of pathogens have been described to cause intraocular infection [3,4,28,37]. In 1977, Shammas [38] recognized Neisseria meningitides along with Streptoccus pneumoniae as the most prevalent microorganisms responsible for infection before 1976. Subsequently, in 1986, Greenwald et al [27] observed a change in the spectrum of causative organisms, with displacement of meningococcus by Bacillus cereus, especially among intravenous drug abusers.…”

Section: Endogenous Bacterial Endophthalmitismentioning

confidence: 99%