PMID: 12887674Jul 31, 2003

Red eyes as the initial presentation of systemic meningococcal infection

Journal of Paediatrics and Child Health
W L YeungJ Hui

Abstract

The present paper is a report of a 14-month-old boy who presented with fever, coryzal symptoms and red eyes. The patient developed a generalized tonic clonic convulsion on day 2 of his illness. Ophthalmological assessment demonstrated bilateral hypopyon and vitreous opacity resulting from endophthalmitis. Cerebrospinal fluid was positive for Neisseria meningitidis (A, C, Y, W 135) by latex agglutination. He was treated with high dose intravenous cefotaxime and intravitreal ceftazidime. He made good recovery and his vision was preserved. In view of the potential morbidity and mortality associated with systemic meningococcal infection, the presence of red eye and hypopyon provides important diagnostic clues indicating the need to investigate beyond superficial conjunctivitis. It should prompt the clinician to recognize endopthalmitis early and accurately diagnose this serious disease.

References

Apr 1, 1979·American Journal of Ophthalmology·W M JayK J Fritz
Jun 1, 1989·The Pediatric Infectious Disease Journal·S B AuerbachJ D Cherry
Nov 1, 1973·Archives of Ophthalmology·A D Jensen, M A Naidoff
Aug 1, 1982·Ophthalmology·C A PuliafitoC S Foster

Citations

Oct 1, 2011·Asian Pacific Journal of Tropical Biomedicine·Jakiyah DaudWan Hazabbah Wan Hitam
Oct 17, 2006·Eye·P AgrawalN Kirkpatrick
Mar 10, 2009·European Journal of Pediatrics·Matthias K BernhardAndreas Merkenschlager
Sep 2, 2016·The American Journal of Forensic Medicine and Pathology·Jack GarlandAllan D Cala
Apr 22, 2006·Pediatric Emergency Care·Kelly A Sinclair, Celeste A Tarantino
Nov 27, 2018·The American Journal of Forensic Medicine and Pathology·Jack GarlandRexson Tse

Related Concepts

Microbicides
Kendrick
Fortum
Meningococcal Infections
Neisseria meningitidis
Infectious Endophthalmitis
Vitreous Body Structure

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