Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=28540018
&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215
Endogenous Endophthalmitis after Severe Burn: A Case Report
#MMPMID28540018
Hosseini SM
; Ahmadabadi A
; Tavousi SH
; Rezaiyan MK
J Ophthalmic Vis Res
2017[Apr]; 12
(2
): 228-231
PMID28540018
show ga
PURPOSE: This report describes a rare ocular complication in a burned patient.
CASE REPORT: A 12-year-old girl was admitted to our burn center because of full
thickness burn of 46% of her total body surface area. On the 23(rd) day of her
stay, she complained of pain and decreased visual acuity in the right eye.
Examination of this eye revealed panuveitis, dense vitritis, and a large
chorioretinal abscess in the macular area; her best corrected visual acuity
(BCVA) in this eye was hand motion. The left eye was completely normal. A smear
and culture of the vitreous biopsy revealed the presence of Candida albicans.
With a diagnosis of endogenous endophthalmitis due to fungal infection, the
patient was treated with systemic fluconazole, intravitreal injection of
Amphotericin B, and pars plana deep vitrectomy. After 6 months, the patient's
final ocular examination revealed BCVA of counting fingers at two meters, a large
macular scar, and quiescence of the intraocular infection. CONCLUSION: Burn
patients treated with broad-spectrum antibiotics are at risk of candidemia and
its complications, including endogenous endophthalmitis. Early diagnosis of
endogenous endophthalmitis in high risk patients could prevent visual loss.
free
free
free
