Endogenous endophthalmitis secondary to bacterial meningitis from Neisseria Meningitidis: a case report and review of the literature.

Cases Journal
Konstantinos Balaskas, Dora Potamitou

Abstract

To report the case of a patient with endogenous endophthalmitis secondary to meningitis from Neisseria Meningitidis with early detection and good visual recovery. A 20-year old patient treated for meningitis was referred to us for vision blurring of his left eye. Unilateral endogenous panophthalmitis was diagnosed with visual acuity hand movement at 1 meter and vitreous sample was obtained for culture. The patient was already receiving intravenous ceftriaxone and dexamethasone. Ceftazidime was injected intravitreally. Four months later visual acuity improved to 4/10 on the Snellen's scale but the development of extensive fibrous strands and the risk for vessel rupture led to vitreous surgery. One year later the visual acuity is stable at 5/10. Endogenous endophthalmitis constitutes a rare complication of bacterial meningitis and its prompt diagnosis and administration of intravitreal antibiotics could lead to a more favorable visual prognosis.

References

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Citations

Aug 13, 2014·Survey of Ophthalmology·Timothy L JacksonIlias Georgalas
Dec 4, 2013·Ocular Immunology and Inflammation·Imran H YusufLarry Benjamin
Dec 22, 2019·Pathogens·Maria Victoria Humbert, Myron Christodoulides
Jun 3, 2021·Clinical Microbiology Reviews·Sixto M LealPeter H Gilligan

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