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Pediatric endogenous endophthalmitis.

Y Y Tsai1, S H Tseng

  • 1Department of Ophthalmology, China Medical College Hospital, Taichung, Taiwan.

Journal of the Formosan Medical Association = Taiwan Yi Zhi
|June 28, 2000
PubMed
Summary
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Pediatric endogenous endophthalmitis, a rare condition, can cause severe vision loss. This study details two cases in infants with Pseudomonas aeruginosa pneumonia, both resulting in total blindness despite aggressive treatment.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Pediatrics

Background:

  • Endogenous endophthalmitis is a rare intraocular infection that can lead to severe vision impairment.
  • Prompt diagnosis and treatment are crucial for managing this condition, particularly in pediatric patients.

Observation:

  • Two cases of pediatric endogenous endophthalmitis are presented: an 8-month-old boy and a 7-day-old girl.
  • Both infants had preceding pneumonia caused by Pseudomonas aeruginosa.
  • Ocular symptoms included eyelid swelling, purulent discharge, redness, corneal edema, hypopyon, and poor red reflex.

Findings:

  • Endophthalmitis developed approximately one week after the onset of pneumonia in both cases.
  • Diagnosis occurred 9 days and 3 days after ocular symptom onset, respectively.

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  • Despite aggressive antimicrobial therapy, both patients experienced total blindness and eyeball atrophy.

    • Implications:

    • This highlights the aggressive nature of Pseudomonas aeruginosa-related endogenous endophthalmitis in infants.
    • Emphasizes the need for heightened awareness and rapid intervention in pediatric cases with similar presentations.
    • Underscores the potential for devastating visual outcomes even with intensive treatment.