Isolated reversible toxic optic neuropathy secondary to linezolid

A 67-year-old male diagnosed with methicillin-resistant Staphylococcus aureus-induced osteomyelitis was started on second-line antibiotic therapy (linezolid). One year following initiation of treatment, he presented to the emergency room with bilateral painless acute deterioration in vision. Visual...

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Main Authors: Liron Berkovitz, Irena Krasnitz, Itzchak Beiran, Eytan Z Blumenthal, Michael Mimouni
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Journal of Clinical Ophthalmology and Research
Subjects:
Online Access:http://www.jcor.in/article.asp?issn=2320-3897;year=2017;volume=5;issue=1;spage=40;epage=42;aulast=Berkovitz
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author Liron Berkovitz
Irena Krasnitz
Itzchak Beiran
Eytan Z Blumenthal
Michael Mimouni
author_facet Liron Berkovitz
Irena Krasnitz
Itzchak Beiran
Eytan Z Blumenthal
Michael Mimouni
author_sort Liron Berkovitz
collection DOAJ
description A 67-year-old male diagnosed with methicillin-resistant Staphylococcus aureus-induced osteomyelitis was started on second-line antibiotic therapy (linezolid). One year following initiation of treatment, he presented to the emergency room with bilateral painless acute deterioration in vision. Visual field testing suggested bilateral optic neuropathy. Following cessation of linezolid visual acuity and visual fields reverted to normal. A handful of case reports has described reversible optic neuropathy occurring shortly after initialization of linezolid treatment. This is, to the best of our knowledge, the first report of isolated delayed onset reversible optic neuropathy with concomitant use of linezolid unaccompanied by any other systemic toxic manifestations. Reversible optic neuropathy may occur in patients receiving long-term linezolid treatment. Ophthalmic follow-up including visual field testing in patients receiving long-term linezolid treatment may assist in early recognition.
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spelling doaj.art-7aaa785c94a34fd7a2106cd208c87a702022-12-21T20:34:34ZengWolters Kluwer Medknow PublicationsJournal of Clinical Ophthalmology and Research2320-38972017-01-0151404210.4103/2320-3897.195309Isolated reversible toxic optic neuropathy secondary to linezolidLiron BerkovitzIrena KrasnitzItzchak BeiranEytan Z BlumenthalMichael MimouniA 67-year-old male diagnosed with methicillin-resistant Staphylococcus aureus-induced osteomyelitis was started on second-line antibiotic therapy (linezolid). One year following initiation of treatment, he presented to the emergency room with bilateral painless acute deterioration in vision. Visual field testing suggested bilateral optic neuropathy. Following cessation of linezolid visual acuity and visual fields reverted to normal. A handful of case reports has described reversible optic neuropathy occurring shortly after initialization of linezolid treatment. This is, to the best of our knowledge, the first report of isolated delayed onset reversible optic neuropathy with concomitant use of linezolid unaccompanied by any other systemic toxic manifestations. Reversible optic neuropathy may occur in patients receiving long-term linezolid treatment. Ophthalmic follow-up including visual field testing in patients receiving long-term linezolid treatment may assist in early recognition.http://www.jcor.in/article.asp?issn=2320-3897;year=2017;volume=5;issue=1;spage=40;epage=42;aulast=BerkovitzLinezolidmethicillin-resistant Staphylococcus aureusoptic neuropathyosteomyelitis
spellingShingle Liron Berkovitz
Irena Krasnitz
Itzchak Beiran
Eytan Z Blumenthal
Michael Mimouni
Isolated reversible toxic optic neuropathy secondary to linezolid
Journal of Clinical Ophthalmology and Research
Linezolid
methicillin-resistant Staphylococcus aureus
optic neuropathy
osteomyelitis
title Isolated reversible toxic optic neuropathy secondary to linezolid
title_full Isolated reversible toxic optic neuropathy secondary to linezolid
title_fullStr Isolated reversible toxic optic neuropathy secondary to linezolid
title_full_unstemmed Isolated reversible toxic optic neuropathy secondary to linezolid
title_short Isolated reversible toxic optic neuropathy secondary to linezolid
title_sort isolated reversible toxic optic neuropathy secondary to linezolid
topic Linezolid
methicillin-resistant Staphylococcus aureus
optic neuropathy
osteomyelitis
url http://www.jcor.in/article.asp?issn=2320-3897;year=2017;volume=5;issue=1;spage=40;epage=42;aulast=Berkovitz
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AT irenakrasnitz isolatedreversibletoxicopticneuropathysecondarytolinezolid
AT itzchakbeiran isolatedreversibletoxicopticneuropathysecondarytolinezolid
AT eytanzblumenthal isolatedreversibletoxicopticneuropathysecondarytolinezolid
AT michaelmimouni isolatedreversibletoxicopticneuropathysecondarytolinezolid