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Pink hypopyon in a patient with Serratia marcescens corneal ulceration.

Stefater JA, Borkar DS, Chodosh J - J Ophthalmic Inflamm Infect (2015)

Bottom Line: A 65-year-old woman presented to the emergency ward at the Massachusetts Eye and Ear Infirmary with 2 days of redness, irritation, photophobia, and diminished vision in her left eye.Cultures were positive for Serratia marcescens.Immediate and intensive treatment was subsequently initiated.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, 243 Charles Street, Boston, MA 02114 USA.

ABSTRACT
A 65-year-old woman presented to the emergency ward at the Massachusetts Eye and Ear Infirmary with 2 days of redness, irritation, photophobia, and diminished vision in her left eye. She was found to have a large central corneal ulcer with a small hypopyon. On the following day, after initiation of broad-spectrum antibiotics, the patient had improved symptoms but now had a 2-mm hypopyon that was distinctly pink in color. Cultures were positive for Serratia marcescens. A pink hypopyon, a rare occurrence, alerted the authors to a causative agent of Enterobacteriacae, either Klebsiella or Serratia. Immediate and intensive treatment was subsequently initiated.

No MeSH data available.


Related in: MedlinePlus

The patient’s left eye demonstrating a pink hypopyon in the presence of fluorescein staining.
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Fig1: The patient’s left eye demonstrating a pink hypopyon in the presence of fluorescein staining.

Mentions: Upon return the following day, the patient was found to have improved symptoms but unchanged visual acuity. Exam revealed an improving epithelial defect and diffuse corneal stromal haze with moderate folds in Descemet’s membrane. The patient now had a 2-mm hypopyon that was distinctly pink in color (Figure 1). Cultures were subsequently positive for Serratia marcescens from both the corneal scrapings and the retained contact lens.Figure 1


Pink hypopyon in a patient with Serratia marcescens corneal ulceration.

Stefater JA, Borkar DS, Chodosh J - J Ophthalmic Inflamm Infect (2015)

The patient’s left eye demonstrating a pink hypopyon in the presence of fluorescein staining.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4385303&req=5

Fig1: The patient’s left eye demonstrating a pink hypopyon in the presence of fluorescein staining.
Mentions: Upon return the following day, the patient was found to have improved symptoms but unchanged visual acuity. Exam revealed an improving epithelial defect and diffuse corneal stromal haze with moderate folds in Descemet’s membrane. The patient now had a 2-mm hypopyon that was distinctly pink in color (Figure 1). Cultures were subsequently positive for Serratia marcescens from both the corneal scrapings and the retained contact lens.Figure 1

Bottom Line: A 65-year-old woman presented to the emergency ward at the Massachusetts Eye and Ear Infirmary with 2 days of redness, irritation, photophobia, and diminished vision in her left eye.Cultures were positive for Serratia marcescens.Immediate and intensive treatment was subsequently initiated.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, 243 Charles Street, Boston, MA 02114 USA.

ABSTRACT
A 65-year-old woman presented to the emergency ward at the Massachusetts Eye and Ear Infirmary with 2 days of redness, irritation, photophobia, and diminished vision in her left eye. She was found to have a large central corneal ulcer with a small hypopyon. On the following day, after initiation of broad-spectrum antibiotics, the patient had improved symptoms but now had a 2-mm hypopyon that was distinctly pink in color. Cultures were positive for Serratia marcescens. A pink hypopyon, a rare occurrence, alerted the authors to a causative agent of Enterobacteriacae, either Klebsiella or Serratia. Immediate and intensive treatment was subsequently initiated.

No MeSH data available.


Related in: MedlinePlus