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A case of Listeria monocytogenes endophthalmitis with recurrent inflammation and novel management.

Weber AC, Levison AL, Srivastava SK, Lowder CY - J Ophthalmic Inflamm Infect (2015)

Bottom Line: Listeria monocytogenes is a rare cause of endogenous endophthalmitis.An anterior chamber washout was necessary for the patient to regain 20/20 visual acuity.It also stresses the importance of addressing damaging inflammation in infectious conditions.

View Article: PubMed Central - PubMed

Affiliation: Cole Eye Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, Mail Code i-32, Cleveland, OH, 44195, USA. webera2@ccf.org.

ABSTRACT

Background: Listeria monocytogenes is a rare cause of endogenous endophthalmitis. In the limited number of reported Listeria endophthalmitis cases, visual acuity outcomes have been very poor.

Findings: Here, we report a case of Listeria endophthalmitis that was complicated by recurrent inflammation. The patient required treatment with both intravitreal and long-term systemic antibiotics. An anterior chamber washout was necessary for the patient to regain 20/20 visual acuity.

Conclusions: This case highlights the importance of considering Listeria early in the disease course, as it has low sensitivity to standard empiric antibiotic therapy. It also stresses the importance of addressing damaging inflammation in infectious conditions.

No MeSH data available.


Related in: MedlinePlus

After improvement in both the infection and his vision, the hypopyon had organized into a consolidated dense mass. He underwent anterior chamber washout
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Fig3: After improvement in both the infection and his vision, the hypopyon had organized into a consolidated dense mass. He underwent anterior chamber washout

Mentions: The patient’s vision and exam slowly improved. The hypopyon, however, consolidated into a dense mass (Fig. 3); an anterior chamber washout was performed 2 weeks after initial presentation due to progressive corneal edema and lack of resolution. His ocular antihypertensives and steroids were slowly tapered. Four weeks status post anterior chamber washout, his visual acuity was 20/20 and dilated fundus exam was unremarkable.Fig. 3


A case of Listeria monocytogenes endophthalmitis with recurrent inflammation and novel management.

Weber AC, Levison AL, Srivastava SK, Lowder CY - J Ophthalmic Inflamm Infect (2015)

After improvement in both the infection and his vision, the hypopyon had organized into a consolidated dense mass. He underwent anterior chamber washout
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4593987&req=5

Fig3: After improvement in both the infection and his vision, the hypopyon had organized into a consolidated dense mass. He underwent anterior chamber washout
Mentions: The patient’s vision and exam slowly improved. The hypopyon, however, consolidated into a dense mass (Fig. 3); an anterior chamber washout was performed 2 weeks after initial presentation due to progressive corneal edema and lack of resolution. His ocular antihypertensives and steroids were slowly tapered. Four weeks status post anterior chamber washout, his visual acuity was 20/20 and dilated fundus exam was unremarkable.Fig. 3

Bottom Line: Listeria monocytogenes is a rare cause of endogenous endophthalmitis.An anterior chamber washout was necessary for the patient to regain 20/20 visual acuity.It also stresses the importance of addressing damaging inflammation in infectious conditions.

View Article: PubMed Central - PubMed

Affiliation: Cole Eye Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, Mail Code i-32, Cleveland, OH, 44195, USA. webera2@ccf.org.

ABSTRACT

Background: Listeria monocytogenes is a rare cause of endogenous endophthalmitis. In the limited number of reported Listeria endophthalmitis cases, visual acuity outcomes have been very poor.

Findings: Here, we report a case of Listeria endophthalmitis that was complicated by recurrent inflammation. The patient required treatment with both intravitreal and long-term systemic antibiotics. An anterior chamber washout was necessary for the patient to regain 20/20 visual acuity.

Conclusions: This case highlights the importance of considering Listeria early in the disease course, as it has low sensitivity to standard empiric antibiotic therapy. It also stresses the importance of addressing damaging inflammation in infectious conditions.

No MeSH data available.


Related in: MedlinePlus