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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Ness, Thomas Schneider, Christian |
| Description | Country affiliation: Germany Author Affiliation: Ness T ( University Eye Hospital, Freiburg, Germany. thomas.ness@uniklinik-freiburg.de) |
| Abstract | PURPOSE: To report clinical features, diagnostic features, and outcome in three patients presenting with fulminant endogenous endophthalmitis caused by methicillin-resistant Staphylococcus aureus. METHODS: Retrospective review of clinical data and microbiological findings in three cases. RESULTS: All three patients had predisposing conditions for endogenous endophthalmitis (B-cell lymphoma, diabetes mellitus, steroid therapy, or gastrointestinal symptoms, such as vomiting and diarrhea). Two patients were colonized by methicillin-resistant Staphylococcus aureus in typical sites (nose, groin, throat, and conjunctiva), whereas one patient who developed phlebitis at the infusion puncture site followed by bacteremia presented no typical colonization. Despite adequate therapy, two patients lost visual function in the infected eye, one of which had to be enucleated. The other patient's eye regained adequate function. CONCLUSION: Endogenous endophthalmitis by methicillin-resistant Staphylococcus aureus is a rare but serious condition. Early and specific therapy based on reliable detection of the underlying microorganism may help in preventing loss of visual function. |
| File Format | HTM / HTML |
| ISSN | 0275004X |
| Issue Number | 6 |
| Volume Number | 29 |
| e-ISSN | 15392864 |
| Journal | Retina |
| Language | English |
| Publisher | Lippincott Williams & Wilkins |
| Publisher Date | 2009-06-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Ophthalmology Endophthalmitis Microbiology Eye Infections, Bacterial Methicillin-resistant Staphylococcus Aureus Isolation & Purification Staphylococcal Infections Aged Anterior Chamber Anti-bacterial Agents Therapeutic Use Blindness Etiology Diagnosis Therapy Eye Enucleation Female Humans Male Middle Aged Retrospective Studies Vancomycin Visual Acuity Vitreous Body Case Reports Journal Article |
| Content Type | Text |
| Resource Type | Case study Article |
| Subject | Ophthalmology |
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