AI Article Synopsis
- A case study highlighted a 56-year-old male with bilateral endogenous endophthalmitis caused by Streptococcus pneumoniae, leading to severe visual impairment and life-threatening complications.
- The patient experienced blurred vision, floaters, fever, and instability, with previous self-extractions of teeth and a diagnosis of acute otitis externa before hospitalization.
- Early diagnosis of endogenous endophthalmitis is crucial for identifying serious medical issues like sepsis and necessitates prompt treatment and teamwork among healthcare providers for better patient outcomes.
Article Abstract
Purpose: To report a case of bilateral endogenous endophthalmitis from Streptococcus pneumoniae with devastating sequelae.
Methods: Interventional case report.
Results: A 56-year-old man presented with acute bilateral blurred vision and floaters with fever and hemodynamic instability. Previously, he was diagnosed with acute otitis externa and reported manually extracting several of his own teeth. He underwent a vitreous tap and intravitreal antibiotic injections. Blood and vitreous cultures were positive for S. pneumoniae. The patient later developed life-threatening medical sequelae. His final visual acuity was no light perception in the right eye and 20/25 in the left eye.
Conclusion: Diagnosing endogenous endophthalmitis early is essential to initiating a systemic evaluation for potentially life-threatening medical conditions, including sepsis, endocarditis, and osteomyelitis. A high degree of suspicion, expeditious treatment, and interdisciplinary collaboration are essential to maximizing patient outcomes.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7899744 | PMC |
| http://dx.doi.org/10.1097/ICB.0000000000000760 | DOI Listing |
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