Bilateral Endophthalmitis as the Initial Presentation of Bacterial Meningitis
Korean Journal of Ophthalmology
; : 321-324, 2009.
Article
in En
| WPRIM
| ID: wpr-64097
Responsible library:
WPRO
ABSTRACT
To report a case of bilateral endophthalmitis as the initial presentation of bacterial meningitis in a young, immunocompetent Korean patient. A 35-year-old female with a one day history of bilateral swollen eyes, visual disturbance, headache, petechial skin rash, and nausea visited our clinic. She was diagnosed as having endogenous endophthalmitis associated with bacterial meningitis. Intravenous broad spectrum antibiotic therapy was initiated with cefotaxime 3 g and ubacillin 3 g, four times daily. Intravitreal antibiotic (vancomycin 1 mg/0.1 mL and ceftazidime 2 mg/0.1 mL) injections were performed in both eyes. Two weeks post presentation, the best corrected visual acuity in both eyes improved to 0.7, and inflammation of the anterior chamber and vitreous cavity was decreased. We recommend that when endogenous endophthalmitis is suspected along with meningitis, or if it is known to be present, intravitreal and intravenous antibiotics should be promptly administered to preserve vision.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Ophthalmoscopy
/
Eye Infections, Bacterial
/
Endophthalmitis
/
Follow-Up Studies
/
Meningitis, Bacterial
/
Diagnosis, Differential
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Anti-Bacterial Agents
Type of study:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
Limits:
Adult
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Female
/
Humans
Language:
En
Journal:
Korean Journal of Ophthalmology
Year:
2009
Type:
Article