Endogenous Endophthalmitis After Methicillin-Resistant Staphylococcus aureus Sternal Wound Infection

Holloway, Edward S.; Pilling, R W D; White, Ralph W. deVere

doi:10.1016/j.athoracsur.2009.08.065

Cited by 5 publications

(7 citation statements)

References 8 publications

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“…Endogenous methicillin-resistant Staphylococcus aureus endophthalmitis secondary to axillary phlegmon: a case report Endophthalmitis, a potentially devastating inflammatory condition of the vitreous and anterior chamber, can be either noninfectious or infectious. 1 Infectious endophthalmitis is classified as exogenous or endogenous. Exogenous endophthalmitis occurs secondary to violation of the eye wall as a result of ocular surgery or trauma, with subsequent intraocular microbial inoculation.…”

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“…Endogenous endophthalmitis, which is less frequent, occurs via hematogenous spread of microorganisms to the eye from systemic infection, often in immunocompromised patients. 1,2 Common infectious foci include meningitis, endocarditis, indwelling catheters, and skin wounds. 1,3 A 56-year-old male presented with a 2-day history of new floaters in the right eye.…”

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confidence: 99%

“…1,2 Common infectious foci include meningitis, endocarditis, indwelling catheters, and skin wounds. 1,3 A 56-year-old male presented with a 2-day history of new floaters in the right eye. Ocular history was significant for surgical repair of a complex rhegmatogenous retinal detachment of the left eye, leading to a blind, painful eye, for which he underwent evisceration 6 weeks prior to developing floaters in his right eye.…”

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confidence: 99%

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Endogenous methicillin-resistant Staphylococcus aureus endophthalmitis secondary to axillary phlegmon: a case report

Kansal

Rahimy

Dollin

2017

Canadian Journal of Ophthalmology

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Endogenous methicillin-resistant Staphylococcus aureus endophthalmitis secondary to axillary phlegmon: a case report

Kansal

Rahimy

Dollin

2017

Canadian Journal of Ophthalmology

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“…Visual perseveration is a positive visual phenomenon in which a visual image either is duplicated, persists, or recurs. 1 Three different forms of visual perseveration exist which can occur in isolation or together: illusory visual spread, palinopsia, and cerebral polyopia. Illusory visual spread occurs when a visual image is not contained within its spatial boundary.…”

Section: An Unusual Case Of Cerebral Polyopiamentioning

confidence: 99%

“…Illusory visual spread occurs when a visual image is not contained within its spatial boundary. 1 Palinopsia, which can be confused with cerebral polyopia, is the perseveration of a visual image in time. An image can thus persist for seconds to even years or reappear intermittently or paroxysmally after the stimulus has been removed.…”

Section: An Unusual Case Of Cerebral Polyopiamentioning

confidence: 99%

Blepharospasm as a masquerade of glaucomatous visual field defects

Dikopf

Setabutr

Vajaranant

2017

Canadian Journal of Ophthalmology

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Phlegmon is an infection of soft tissue and often involves connective tissue. It is characterized by diffuse inflammation, with formation of suppurative exudate, typically at sites of injury or foreign body, and a predisposition in patients with immunosuppression. Radiologic studies revealing soft tissue gas are suggestive, although definitive diagnosis is established through tissue cultures. Patients are treated with systemic antimicrobials, and surgical intervention may be indicated when lesions are rapidly progressive or refractory to medical management. 10 The prognosis for the visual outcomes of endogenous endophthalmitis is guarded. A review of the literature since 1986 reveals that 69% of patients experience blindness and that 25% require enucleation or evisceration; only 5% had a final visual acuity of 20/20. 2 Given the likelihood of poor visual outcomes, our case illustrates the importance of urgent empiric treatment with systemic and intraocular broad-spectrum antimicrobials. We used intraocular and systemic vancomycin to treat the MRSA infection. However, there is growing concern over the emergence of vancomycin-resistant S. aureus. 5,11 Given the increase in community-acquired MRSA, 12 endophthalmitis caused by this pathogen may become a more frequent presentation.In conclusion, MRSA endogenous endophthalmitis is a severe, vision-threatening ocular condition. This case illustrates how a seemingly benign presentation can be an indication of a serious illness. When evaluating patients with presumed endogenous endophthalmitis, it is important to include MRSA in the differential diagnosis and consider soft tissue infection as a possible infectious source. Prompt and aggressive treatment with intraocular and systemic antibiotics is imperative to prevent potential vision loss.

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