Meningococcal meningitis complicated by pericarditis, panophthalmitis, and arthritis.

Immune complex associated complications in the subacute phase of meningococcal disease: incidence and literature review

“…Twelve (60%) patients had more then one manifestation of IAC. Pleuritis presented on median day 4 (range 3-15), arthritis on day 7 (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15), and vasculitis on day 11 (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16). Arthritis/arthralgia involved the knee joint in ten cases (55%), the ankle in five cases (27.7%), and the elbow in two (11%).…”

Unusual Clinical Presentation of Klebsiella Pneumoniae Induced Endogenous Endophthalmitis and Xanthogranulomatous Pyelonephritis in a Non-Nephrolithiasis and Non-Obstructive Urinary Tract

“…[3] The endogenous endophthalmitis could be a rare but emergent ocular complication due to bacteremia. Virchow first economized it as a distinct clinical entity in 1856, and it had been documented to occur in patients with endocarditis, [1] pyogenic liver abscess, [2] pyelonephritis, [3] meningococcal meningitis, [6] and post-prostatic surgery. [7] In Taiwan, Klebsiella pneumoniae may be the major responsible pathogen for endogenous endophthalmitis in diabetic patients with pyogenic liver abscess.…”

Blindness following a diabetic foot infection: a variant to the ‘eye–foot syndrome’?

“…Endophthalmitis is a sight‐threatening ocular inflammatory response to either infected or injured intraocular tissue. Most cases appear to be secondary to the haematogenous spread of organisms, especially bacterial, to the eye and reports in the medical literature have associated it with urinary tract infections[10], endocarditis[11], meningitis[12], liver abscesses[13] and pneumonia[14], with immunocompromised[15] and diabetic patients [16] being especially at risk. Pathogens commonly described include Staph.…”

“…Endophthalmitis is a sight-threatening ocular in¯ammatory response to either infected or injured intraocular tissue. Most cases appear to be secondary to the haematogenous spread of organisms, especially bacterial, to the eye and reports in the medical literature have associated it with urinary tract infections [10], endocarditis [11], meningitis [12], liver abscesses [13] and pneumonia [14], with immunocompromised [15] and diabetic patients [16] [21] reviewed the medical records of patients discharged with the diagnosis of endophthalmitis and orbital abscess over a 6-year study period at an ophthalmological institution and found that the average annual incidence of endophthalmitis was 4.75 cases/10 000 ophthalmic discharges per year.…”