BILATERAL ENDOGENOUS BACTERIAL ENDOPHTHALMITIS SECONDARY TO PNEUMONIA IN AN AIDS PATIENT: A CASE REPORT
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 35
Abstract
Endogenous or metastatic endophthalmitis is a very rare sever form of ocular disease which is uncommon now-a- days. Prevalence of endogenous bacterial endophthalmitis is 2-8% of all cases of endophthalmitis1 . Mostly it is associated with chronic disease like diabetes mellitus, renal failure, liver abscesses, prolong placement of catheter, IV line or central venous line, drug abusers and immunocompromised patients. Gram +bacteria are the most common causative organism of the endogenous bacterial endophthalmitis. 1 A few cases of endogenous bacterial endophthalmitis due to klebsiella pneumonias, a gram -ve organism have been documented and majority of them were in Taiwan. 2,3,4,5,6,7 K. pneumonia endophthalmitis is associated with diabetes mellitus and hepatic abscesses can be bilateral and resulted into poor visual outcome. 2,3,4,5,6,7 K. pneumonia pneumonia has been reported most frequently from patients with alcoholic liver diseases and one of the common cause of acute osteomyelitis and septic arthritis. 8,9 In this scenario we report the case of a Malawian in African Continent who developed bilateral endogenous bacterial endophthalmitis after suffering from pneumonia in immunocompromise state. PURPOSE: to report a case bilateral endogenous endophthalmitis secondary to pneumonia in an AIDS patient. DESIGN: Observational case report. METHODS: A patient with bilateral pain full red eye with diminution of vision was seen in consultation by ophthalmology. RESULT: with clinical characteristic and laboratory diagnosis of sputum and blood confirmed the causative agent for pneumonia and endophthalmitis is K.pneumonia. CONCLUSION: it is unusual disease, required early detection and prompt treatment.
Authors and Affiliations
Rajendra Ku. Behera, Msosa J. , Temhani Temhani, Mataya Mataya, Nyirendra Nyirendra
Keywords
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- EP ID EP231928
- DOI 10.18410/jebmh/2015/763
- Views 87
- Downloads 0
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