Self-induced <it>Elizabethkingia meningoseptica </it>endophthalmitis: a case report

<p>Abstract</p> <p>Introduction</p> <p>Endophthalmitis is a sight-threatening condition defined as any inflammation of the internal ocular spaces. It is classified as either endogenous or exogenous depending on the route of infection. Exogenous endophthalmitis results f...

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Main Authors: Wickremasinghe Sanj, Connell Paul P, Devi Uma, Waters Mary, Allen Penelope J
Format: Article
Language:English
Published: BMC 2011-07-01
Series:Journal of Medical Case Reports
Online Access:http://www.jmedicalcasereports.com/content/5/1/303
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author Wickremasinghe Sanj
Connell Paul P
Devi Uma
Waters Mary
Allen Penelope J
author_facet Wickremasinghe Sanj
Connell Paul P
Devi Uma
Waters Mary
Allen Penelope J
author_sort Wickremasinghe Sanj
collection DOAJ
description <p>Abstract</p> <p>Introduction</p> <p>Endophthalmitis is a sight-threatening condition defined as any inflammation of the internal ocular spaces. It is classified as either endogenous or exogenous depending on the route of infection. Exogenous endophthalmitis results from direct inoculation as a complication of intra-ocular surgery, penetrating ocular trauma, intra-ocular foreign bodies, corneal ulceration and following a breach of ocular barriers from a periocular infection. We report a rare case of exogenous endophthalmitis with both unusual etiology and microbiology.</p> <p>Case presentation</p> <p>A 41-year-old Caucasian man with a history of depressive illness presented to our eye department with painful acute visual loss on a background history of chronic uveitis. Ocular examination revealed a dense fibrinous panuveitis with a suspicion of a focal lesion in the posterior segment. Microbiological sampling from his anterior chamber and posterior segment revealed a culture of <it>Elizabethkingia meningoseptica</it>. On closer questioning, he volunteered the occurrence of multiple episodes of deliberate needle ocular penetration. Following vitrectomy for associated retinal detachment, a final Snellen visual acuity of 6/60 was obtained.</p> <p>Conclusions</p> <p><it>Elizabethkingia meningoseptica </it>endophthalmitis is a rare condition, and visual results to date are poor.</p>
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spelling doaj.art-d2d27718028f447c81babf01ebbc0e8f2022-12-22T03:10:13ZengBMCJournal of Medical Case Reports1752-19472011-07-015130310.1186/1752-1947-5-303Self-induced <it>Elizabethkingia meningoseptica </it>endophthalmitis: a case reportWickremasinghe SanjConnell Paul PDevi UmaWaters MaryAllen Penelope J<p>Abstract</p> <p>Introduction</p> <p>Endophthalmitis is a sight-threatening condition defined as any inflammation of the internal ocular spaces. It is classified as either endogenous or exogenous depending on the route of infection. Exogenous endophthalmitis results from direct inoculation as a complication of intra-ocular surgery, penetrating ocular trauma, intra-ocular foreign bodies, corneal ulceration and following a breach of ocular barriers from a periocular infection. We report a rare case of exogenous endophthalmitis with both unusual etiology and microbiology.</p> <p>Case presentation</p> <p>A 41-year-old Caucasian man with a history of depressive illness presented to our eye department with painful acute visual loss on a background history of chronic uveitis. Ocular examination revealed a dense fibrinous panuveitis with a suspicion of a focal lesion in the posterior segment. Microbiological sampling from his anterior chamber and posterior segment revealed a culture of <it>Elizabethkingia meningoseptica</it>. On closer questioning, he volunteered the occurrence of multiple episodes of deliberate needle ocular penetration. Following vitrectomy for associated retinal detachment, a final Snellen visual acuity of 6/60 was obtained.</p> <p>Conclusions</p> <p><it>Elizabethkingia meningoseptica </it>endophthalmitis is a rare condition, and visual results to date are poor.</p>http://www.jmedicalcasereports.com/content/5/1/303
spellingShingle Wickremasinghe Sanj
Connell Paul P
Devi Uma
Waters Mary
Allen Penelope J
Self-induced <it>Elizabethkingia meningoseptica </it>endophthalmitis: a case report
Journal of Medical Case Reports
title Self-induced <it>Elizabethkingia meningoseptica </it>endophthalmitis: a case report
title_full Self-induced <it>Elizabethkingia meningoseptica </it>endophthalmitis: a case report
title_fullStr Self-induced <it>Elizabethkingia meningoseptica </it>endophthalmitis: a case report
title_full_unstemmed Self-induced <it>Elizabethkingia meningoseptica </it>endophthalmitis: a case report
title_short Self-induced <it>Elizabethkingia meningoseptica </it>endophthalmitis: a case report
title_sort self induced it elizabethkingia meningoseptica it endophthalmitis a case report
url http://www.jmedicalcasereports.com/content/5/1/303
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