ESBL E. coli Urosepsis Resulting in Endogenous Panophthalmitis Requiring Evisceration of the Eye in a Diabetic Patient
A primary infection in a remote site resulting in vision threatening complications like panophthalmitis in a person who is not immune-compromised is rare. We report a case of endogenous bilateral bacterial endophthalmitis progressing into panophthalmitis in one eye requiring evisceration of that eye...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2015-01-01
|
| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2015/897245 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832559230257725440 |
|---|---|
| author | Tejaswini Arunachala Murthy Pradeep Rangappa Sangeetha Rao Karthik Rao |
| author_facet | Tejaswini Arunachala Murthy Pradeep Rangappa Sangeetha Rao Karthik Rao |
| author_sort | Tejaswini Arunachala Murthy |
| collection | DOAJ |
| description | A primary infection in a remote site resulting in vision threatening complications like panophthalmitis in a person who is not immune-compromised is rare. We report a case of endogenous bilateral bacterial endophthalmitis progressing into panophthalmitis in one eye requiring evisceration of that eye. A patient admitted with severe ESBL E. coli urosepsis was effectively treated with source control (bilateral DJ stenting for hydroureteronephrosis) and antibiotics. She was found to have features suggestive of bilateral conjunctivitis which progressed to panophthalmitis possibly due to delay in appropriate diagnosis and treatment. Diagnosis requires a very high index of suspicion if eye involvement is noted in a patient with features of bacteraemia and early intervention could possibly produce better outcomes. To our knowledge, this is the first case of ESBL E. coli urosepsis complicated by microbiologically confirmed panophthalmitis. |
| format | Article |
| id | doaj-art-a5dbd6b4e6ad4a5ebe975ddf5630a6c5 |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-a5dbd6b4e6ad4a5ebe975ddf5630a6c52025-02-03T01:30:35ZengWileyCase Reports in Infectious Diseases2090-66252090-66332015-01-01201510.1155/2015/897245897245ESBL E. coli Urosepsis Resulting in Endogenous Panophthalmitis Requiring Evisceration of the Eye in a Diabetic PatientTejaswini Arunachala Murthy0Pradeep Rangappa1Sangeetha Rao2Karthik Rao3Intensive Care Unit, Columbia Asia Referral Hospital, Yeshwantpur, IndiaIntensive Care Unit, Columbia Asia Referral Hospital, Yeshwantpur, IndiaDepartment of Ophthalmology, Columbia Asia Referral Hospital, Yeshwantpur, IndiaIntensive Care Unit, Columbia Asia Referral Hospital, Yeshwantpur, IndiaA primary infection in a remote site resulting in vision threatening complications like panophthalmitis in a person who is not immune-compromised is rare. We report a case of endogenous bilateral bacterial endophthalmitis progressing into panophthalmitis in one eye requiring evisceration of that eye. A patient admitted with severe ESBL E. coli urosepsis was effectively treated with source control (bilateral DJ stenting for hydroureteronephrosis) and antibiotics. She was found to have features suggestive of bilateral conjunctivitis which progressed to panophthalmitis possibly due to delay in appropriate diagnosis and treatment. Diagnosis requires a very high index of suspicion if eye involvement is noted in a patient with features of bacteraemia and early intervention could possibly produce better outcomes. To our knowledge, this is the first case of ESBL E. coli urosepsis complicated by microbiologically confirmed panophthalmitis.http://dx.doi.org/10.1155/2015/897245 |
| spellingShingle | Tejaswini Arunachala Murthy Pradeep Rangappa Sangeetha Rao Karthik Rao ESBL E. coli Urosepsis Resulting in Endogenous Panophthalmitis Requiring Evisceration of the Eye in a Diabetic Patient Case Reports in Infectious Diseases |
| title | ESBL E. coli Urosepsis Resulting in Endogenous Panophthalmitis Requiring Evisceration of the Eye in a Diabetic Patient |
| title_full | ESBL E. coli Urosepsis Resulting in Endogenous Panophthalmitis Requiring Evisceration of the Eye in a Diabetic Patient |
| title_fullStr | ESBL E. coli Urosepsis Resulting in Endogenous Panophthalmitis Requiring Evisceration of the Eye in a Diabetic Patient |
| title_full_unstemmed | ESBL E. coli Urosepsis Resulting in Endogenous Panophthalmitis Requiring Evisceration of the Eye in a Diabetic Patient |
| title_short | ESBL E. coli Urosepsis Resulting in Endogenous Panophthalmitis Requiring Evisceration of the Eye in a Diabetic Patient |
| title_sort | esbl e coli urosepsis resulting in endogenous panophthalmitis requiring evisceration of the eye in a diabetic patient |
| url | http://dx.doi.org/10.1155/2015/897245 |
| work_keys_str_mv | AT tejaswiniarunachalamurthy esblecoliurosepsisresultinginendogenouspanophthalmitisrequiringeviscerationoftheeyeinadiabeticpatient AT pradeeprangappa esblecoliurosepsisresultinginendogenouspanophthalmitisrequiringeviscerationoftheeyeinadiabeticpatient AT sangeetharao esblecoliurosepsisresultinginendogenouspanophthalmitisrequiringeviscerationoftheeyeinadiabeticpatient AT karthikrao esblecoliurosepsisresultinginendogenouspanophthalmitisrequiringeviscerationoftheeyeinadiabeticpatient |