A case of Legionnaire’s endophthalmitis
Jea H Yu,1 Jaycob Avaylon,1 Hyein Kil,1 Jisoo K Kim,1 Ron P Gallemore1,21Department of Clinical Research, Retina Macula Institute, Torrance, CA, USA; 2Department of Ophthalmology, University of California, Los Angeles, CA, USAPurpose: To report a case of endophthalmitis associated with Legionella Pn...
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| Formato: | Artigo |
| Idioma: | English |
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Dove Medical Press
2019-06-01
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| Colecção: | International Medical Case Reports Journal |
| Assuntos: | |
| Acesso em linha: | https://www.dovepress.com/a-case-of-legionnairersquos-endophthalmitis-peer-reviewed-article-IMCRJ |
| _version_ | 1828874084080943104 |
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| author | Yu JH Avaylon J Kil H Kim JK Gallemore RP |
| author_facet | Yu JH Avaylon J Kil H Kim JK Gallemore RP |
| author_sort | Yu JH |
| collection | DOAJ |
| description | Jea H Yu,1 Jaycob Avaylon,1 Hyein Kil,1 Jisoo K Kim,1 Ron P Gallemore1,21Department of Clinical Research, Retina Macula Institute, Torrance, CA, USA; 2Department of Ophthalmology, University of California, Los Angeles, CA, USAPurpose: To report a case of endophthalmitis associated with Legionella Pneumophila.Case Report: A 46-year-old, highly myopic male with a complex history of recurrent retinal detachments, macular hole, cataract surgery and an infected scleral buckle in the left eye, presented with pain, redness, hypopyon and vision loss in the left eye, 14 days following blunt head trauma. Empirical treatment for endophthalmitis with intravitreal injections of Vancomycin and Ceftazidime afforded minimal improvement. He developed recurrent hypopyon and underwent vitrectomy surgery with intravitreal antibiotic injections at the time of surgery and had improvement. Intraoperative culture was positive for Legionella Pneumophila. He had continued episodes of recurrent inflammation which were quelled by intravitreal moxifloxacin injections performed every 3–10 days. He developed a recurrent RD with proliferative vitreoretinopathy (PVR) and underwent vitrectomy with silicone oil. The retina was reattached but had no light perception vision in the affected eye.Conclusion: When endophthalmitis is contracted in a work-place setting, a culture for L. pneumophila should be considered. A combination of intravitreal moxifloxacin and oral azithromycin may be effective.Keywords: endophthalmitis, Legionella Pneumophila, Legionnaire’s disease |
| first_indexed | 2024-12-13T07:31:24Z |
| format | Article |
| id | doaj.art-32a8889e5e3c47869b68db01c47d8aa3 |
| institution | Directory Open Access Journal |
| issn | 1179-142X |
| language | English |
| last_indexed | 2024-12-13T07:31:24Z |
| publishDate | 2019-06-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Medical Case Reports Journal |
| spelling | doaj.art-32a8889e5e3c47869b68db01c47d8aa32022-12-21T23:55:12ZengDove Medical PressInternational Medical Case Reports Journal1179-142X2019-06-01Volume 1217317746449A case of Legionnaire’s endophthalmitisYu JHAvaylon JKil HKim JKGallemore RPJea H Yu,1 Jaycob Avaylon,1 Hyein Kil,1 Jisoo K Kim,1 Ron P Gallemore1,21Department of Clinical Research, Retina Macula Institute, Torrance, CA, USA; 2Department of Ophthalmology, University of California, Los Angeles, CA, USAPurpose: To report a case of endophthalmitis associated with Legionella Pneumophila.Case Report: A 46-year-old, highly myopic male with a complex history of recurrent retinal detachments, macular hole, cataract surgery and an infected scleral buckle in the left eye, presented with pain, redness, hypopyon and vision loss in the left eye, 14 days following blunt head trauma. Empirical treatment for endophthalmitis with intravitreal injections of Vancomycin and Ceftazidime afforded minimal improvement. He developed recurrent hypopyon and underwent vitrectomy surgery with intravitreal antibiotic injections at the time of surgery and had improvement. Intraoperative culture was positive for Legionella Pneumophila. He had continued episodes of recurrent inflammation which were quelled by intravitreal moxifloxacin injections performed every 3–10 days. He developed a recurrent RD with proliferative vitreoretinopathy (PVR) and underwent vitrectomy with silicone oil. The retina was reattached but had no light perception vision in the affected eye.Conclusion: When endophthalmitis is contracted in a work-place setting, a culture for L. pneumophila should be considered. A combination of intravitreal moxifloxacin and oral azithromycin may be effective.Keywords: endophthalmitis, Legionella Pneumophila, Legionnaire’s diseasehttps://www.dovepress.com/a-case-of-legionnairersquos-endophthalmitis-peer-reviewed-article-IMCRJEndophthalmitisLegionella PneumophilaLegionnaire’s Disease |
| spellingShingle | Yu JH Avaylon J Kil H Kim JK Gallemore RP A case of Legionnaire’s endophthalmitis International Medical Case Reports Journal Endophthalmitis Legionella Pneumophila Legionnaire’s Disease |
| title | A case of Legionnaire’s endophthalmitis |
| title_full | A case of Legionnaire’s endophthalmitis |
| title_fullStr | A case of Legionnaire’s endophthalmitis |
| title_full_unstemmed | A case of Legionnaire’s endophthalmitis |
| title_short | A case of Legionnaire’s endophthalmitis |
| title_sort | case of legionnaire rsquo s endophthalmitis |
| topic | Endophthalmitis Legionella Pneumophila Legionnaire’s Disease |
| url | https://www.dovepress.com/a-case-of-legionnairersquos-endophthalmitis-peer-reviewed-article-IMCRJ |
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