Listeria monocytogenes endophthalmitis following keratoconjunctivitis

Samir S Shoughy,1 Khalid F Tabbara1–31The Eye Center and The Eye Foundation for Research in Ophthalmology, Riyadh, Saudi Arabia; 2Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia; 3The Wilmer Ophthalmological Institute of The Johns Hopkins Unive...

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Autores principales:	Shoughy SS, Tabbara KF
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/54cdb18749d04474956ecfe7d891b111
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spelling	oai:doaj.org-article:54cdb18749d04474956ecfe7d891b1112021-12-02T00:15:24ZListeria monocytogenes endophthalmitis following keratoconjunctivitis1177-5483https://doaj.org/article/54cdb18749d04474956ecfe7d891b1112014-01-01T00:00:00Zhttp://www.dovepress.com/listeria-monocytogenes-endophthalmitis-following-keratoconjunctivitis-a15624https://doaj.org/toc/1177-5483 Samir S Shoughy,1 Khalid F Tabbara1–31The Eye Center and The Eye Foundation for Research in Ophthalmology, Riyadh, Saudi Arabia; 2Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia; 3The Wilmer Ophthalmological Institute of The Johns Hopkins University School of Medicine, Baltimore, MD, USAAbstract: Endophthalmitis due to endogenous or exogenous bacteria is a rare infection of the eye. We report a case of endophthalmitis following Listeria monocytogenes keratoconjunctivitis in a 27-year-old healthy white male presenting with hand motion visual acuity, right eye mucopurulent conjunctivitis, elevated intraocular pressure, and pigmented hypopyon 6 months post-keratectomy. The conjunctivitis was unresponsive to a 5-day course of topical tobramycin eye drops, and the patient developed keratitis with pain that progressed to endophthalmitis after 21 days. Diagnostic B-scan revealed vitreous exudates. Intraocular fluid specimen showed Gram-positive organisms and the aqueous culture grew penicillin-/aminoglycoside-sensitive L. monocytogenes. The patient was given intravitreal and systemic vancomycin and ceftazidime. The eye was unresponsive to intravenous penicillin and gentamicin; the anterior chamber progressively flattened and developed phthisis bulbi. L. monocytogenes keratoconjunctivitis may lead to bacterial endophthalmitis. Prompt culture and early antibiotic therapy are recommended.Keywords: conjunctivitis, L. monocytogenes, endophthalmitisShoughy SSTabbara KFDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 301-304 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Shoughy SS Tabbara KF Listeria monocytogenes endophthalmitis following keratoconjunctivitis
description	Samir S Shoughy,1 Khalid F Tabbara1–31The Eye Center and The Eye Foundation for Research in Ophthalmology, Riyadh, Saudi Arabia; 2Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia; 3The Wilmer Ophthalmological Institute of The Johns Hopkins University School of Medicine, Baltimore, MD, USAAbstract: Endophthalmitis due to endogenous or exogenous bacteria is a rare infection of the eye. We report a case of endophthalmitis following Listeria monocytogenes keratoconjunctivitis in a 27-year-old healthy white male presenting with hand motion visual acuity, right eye mucopurulent conjunctivitis, elevated intraocular pressure, and pigmented hypopyon 6 months post-keratectomy. The conjunctivitis was unresponsive to a 5-day course of topical tobramycin eye drops, and the patient developed keratitis with pain that progressed to endophthalmitis after 21 days. Diagnostic B-scan revealed vitreous exudates. Intraocular fluid specimen showed Gram-positive organisms and the aqueous culture grew penicillin-/aminoglycoside-sensitive L. monocytogenes. The patient was given intravitreal and systemic vancomycin and ceftazidime. The eye was unresponsive to intravenous penicillin and gentamicin; the anterior chamber progressively flattened and developed phthisis bulbi. L. monocytogenes keratoconjunctivitis may lead to bacterial endophthalmitis. Prompt culture and early antibiotic therapy are recommended.Keywords: conjunctivitis, L. monocytogenes, endophthalmitis
format	article
author	Shoughy SS Tabbara KF
author_facet	Shoughy SS Tabbara KF
author_sort	Shoughy SS
title	Listeria monocytogenes endophthalmitis following keratoconjunctivitis
title_short	Listeria monocytogenes endophthalmitis following keratoconjunctivitis
title_full	Listeria monocytogenes endophthalmitis following keratoconjunctivitis
title_fullStr	Listeria monocytogenes endophthalmitis following keratoconjunctivitis
title_full_unstemmed	Listeria monocytogenes endophthalmitis following keratoconjunctivitis
title_sort	listeria monocytogenes endophthalmitis following keratoconjunctivitis
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/54cdb18749d04474956ecfe7d891b111
work_keys_str_mv	AT shoughyss listeriamonocytogenesendophthalmitisfollowingkeratoconjunctivitis AT tabbarakf listeriamonocytogenesendophthalmitisfollowingkeratoconjunctivitis
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Listeria monocytogenes endophthalmitis following keratoconjunctivitis

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