Endogene endoftalmitis doorStaphylococcus aureus

Data Archiving and Networked Services (DANS)

Abstract

BACKGROUND: Staphylococcus aureas bacteraemia can spread to cause endocartitis, spondylodiscitis or infection of vascular or joint prostheses. Endogenous endophtalmitis is a serious complication which may result in permanent visual loss of the affected eye. Treatment consists of intra-ocular injection of antibiotics or a vitrectomy. CASE DESCRIPTION: A 79-year-old man attended the emergency department because of septic arthritis. Blood cultures were positive for a S. aureus bacteraemia. On the second day of admission he developed a blurred vision and he was diagnosed with an endophtalmitis. The patient was referred to an academic hospital for treatment with intra-ocular antibiotics. After treatment his vision improved again. CONCLUSION: Visual complaints should be taken seriously when a patient has a proven S. aureus bacteraemia. Infectious disease consultation may accelerate early recognition, referral and treatment. When endophtalmitis is suspected, it is essential to refer the patient to a treatment centre where intra-ocular antibiotics can be administered.

Authors 4

1. J H van den Besselaar Aachen Alrijne Ziekenhuis

   Alrijne Ziekenhuis

   Affiliation as printed

   Alrijne Ziekenhuis, Leiden, The Netherlands

2. Joanna Chua Aachen

   Leiden University Medical Center

   Affiliation as printed

   LUMC;

3. Nathalie Manon Delfos Aachen Alrijne Ziekenhuis

   Alrijne Ziekenhuis

   Affiliation as printed

   Alrijne Ziekenhuis, Leiden, The Netherlands

4. Janneke E. Stalenhoef Aachen

   Leiden University Medical Center

   Affiliation as printed

   LUMC;