Intraocular Listeriosis

Goodner, Ernest K.; Okumoto, Masao

doi:10.1016/0002-9394(67)92848-6

Cited by 33 publications

(20 citation statements)

References 6 publications

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“…In all cases the cause of bacterial endophthalmitis was determined by recovering the organism from cultures of intraocular fluids. Six of the 17 published cases of L. monocytogenes endophthalmitis occurred in immunocompromised patients (2,5,7,20,22,25), 6 occurred in elderly patients with good physical health (1,4,14,15,17,19), and the remaining 5 cases affected young healthy individuals (6,8,12,13,29). Our patient had several potentially predisposing factors, including laryngeal carcinoma and immunosuppressive therapy.…”

Section: Case Reportmentioning

confidence: 77%

“…monocytogenes is a rare cause of endophthalmitis. Since the first case of endophthalmitis due to L. monocytogenes reported by Goodner and Okumoto (15) in 1967, to our knowledge, only 16 other cases have been published in the literature (1, 2, 4-8, 12-14, 17, 19, 20, 22, 25, 29). Almost all cases showed similar clinical features including decreased vision, elevated intraocular pressure, and fibrinous anterior chamber reaction.…”

Section: Case Reportmentioning

confidence: 99%

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Endophthalmitis Caused by Listeria monocytogenes

Betriú¹,

Fuentemilla

Méndez

et al. 2001

J Clin Microbiol

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Listeria monocytogenes was isolated from the aqueous chamber of an immunodepressed patient with acute hypertensive uveitis, who developed a dark hypopyon and pigment dispersion. No extraocular septic focus was found. Treatment was successful with intravitreal vancomycin, anterior chamber irrigation with vancomycin, orally administered ciprofloxacin, and topical fortified vancomycin. CASE REPORTA 62-year-old man presented to the emergency department with pain, redness, and decreased vision in the left eye. The patient had a history of laryngeal carcinoma, for which he had undergone laryngectomy and had been treated with radiation therapy and steroids. Examination of the eye on admission revealed acute hypertensive uveitis, and treatment with corticosteroids was begun but did not provide significant improvement. The patient developed a dark hypopyon with pigment dispersion and uveal ectropion. A differential diagnosis was made between endogenous endophthalmitis and a neoplastic process of the ciliary body (either primary ciliary body melanoma or metastatic melanoma from larynx carcinoma). Results from laboratory studies were unremarkable, except for the leukocyte count (14,030/mm 3 with 77% polymorphonuclear neutrophils). The chest X ray was normal. Blood cultures were negative. An ultrasound scan of the eye showed dispersion of echoes, and no evidence of retinal detachment was noted. B-scan ultrasonography revealed inflammatory deposition and pigmentary epithelium detachment. No proliferation was detected in the stromal iris.Anterior chamber paracentesis was performed and submitted for culture and histopathology. Cytological examination showed polymorphonuclear leukocytes and no evidence of neoplastic cells. Because the patient reported a history of penicillin allergy, combined treatment with oral administration of ciprofloxacin (750 mg twice a day), anterior chamber irrigation with vancomycin, and intravitreal vancomycin (1 mg) was started. Topical fortified vancomycin (1 g) and corticotherapy were also applied. The patient's condition improved with treatment. Within 7 days, the hypopyon disappeared and the intraocular pressure decreased. However, visual acuity was limited to appreciation of hand motion, because of a severe corneal edema and a cataract which developed in the patient's left eye.A small amount of fluid obtained by aspiration from the anterior chamber was directly plated onto blood agar and chocolate agar and distributed into aerobic and anaerobic blood culture bottles processed by the BACTEC 9050 system (Becton Dickinson Microbiology Systems, Cockeysville, Md.). Gram staining was performed and no organisms were observed. After a 24-h incubation of plates at 35°C in a 5% CO 2 -enriched atmosphere, catalase-positive, gram-positive coccobacilli grew, producing beta-hemolysis on blood agar. The isolate was identified as Listeria monocytogenes by both the Wider system (Francisco Soria Melguizo, S.A., Madrid, Spain) and the API Listeria system (bioMérieux, Marcy l'Etoile, France). Pure culture of L. mon...

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Section: Case Reportmentioning

confidence: 77%

Section: Case Reportmentioning

confidence: 99%

Endophthalmitis Caused by Listeria monocytogenes

Betriú¹,

Fuentemilla

Méndez

et al. 2001

J Clin Microbiol

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“…Two cases of cor neal abscess have been reported [4,5]. L. monocytogenes has also been implicated in the genesis of iridocyclitis [6], though without bacteriological evidence, and in acute chorio retinitis [7], Endophthalmitis is exceptional; only 7 cases have been published [8][9][10][11][12][13][14]. A few common characteristics should be stressed:…”

Section: Discussionmentioning

confidence: 99%

“…could induce localization in the eye, by the circulatory way. In a few cases [8,10,13], the mode of contamination was thought to be ali mentary. In the case reported here the investi gation gave negative results as did also a cul ture of feces and an assay for serum antibodies.…”

Section: Discussionmentioning

confidence: 99%

<i>Listeria monocytogenes</i> Endophthalmitis in a Renal-Transplant Patient Receiving Ciclosporin

Algan¹,

Jonon

George³

et al. 1990

Ophthalmologica

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Endophthalmitis due to Listeria monocytogenes developed suddenly in a 52-year-old man receiving immunosuppressive therapy for a renal transplantation carried out 2 months previously. The treatment combined low doses of ciclosporin and prednisone. The initial clinical picture was of acute hypertensive uveitis with hypopyon. Despite prompt paracentesis and appropriate antibiotic therapy, the long-term course was unfavorable, and enucleation became necessary. The occurrence of listeriosis is classic in renal-transplant recipients, but no ocular form has been reported hitherto.

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“…Only 30 cases of uveitis due to L. monocytogenes have appeared in medical literature since 1967 [1]. The means of entry was hematogenous in each instance.…”

Section: Introductionmentioning

confidence: 99%

Fulminant Endogenous Anterior Uveitis due to Listeria monocytogenes

Hueber¹,

Welsandt²,

Grajewski³

et al. 2010

Case Rep Ophthalmol

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Purpose: To report an unusual case of fulminant anterior uveitis, confirmed as endogenous Listeria monocytogenes infection. Subject: A 67-year-old man with multiple comorbidities acutely developed a severe endogenous anterior uveitis. Results:L. monocytogenes, a ubiquitous Gram-positive bacillus, was directly indicated by culture and PCR. Early and aggressive treatment with intravenous antibiotics likely prevented the endophthalmitis which most cases on record experienced. Our patient regained satisfactory visual acuity. Conclusions: Prompt antimicrobial therapy is paramount when severe endogenous uveitis develops in a patient with comorbidities, especially with systemic immunosuppression. Treatment solely with corticosteroids should be avoided.

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Intraocular Listeriosis

Cited by 33 publications

References 6 publications

Endophthalmitis Caused by Listeria monocytogenes

Endophthalmitis Caused by Listeria monocytogenes

<i>Listeria monocytogenes</i> Endophthalmitis in a Renal-Transplant Patient Receiving Ciclosporin

Fulminant Endogenous Anterior Uveitis due to Listeria monocytogenes

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