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[Listeria endophthalmitis].

E Berger1, M Donat, R F Guthoff

  • 1Augenklinik und Poliklinik, Universität, Rostock. eike.berger@med.uni-rostock.de

Der Ophthalmologe : Zeitschrift Der Deutschen Ophthalmologischen Gesellschaft
|October 14, 2004
PubMed
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Listeria monocytogenes can cause endogenous endophthalmitis, leading to severe vision loss. Early diagnosis and treatment are crucial for recovery, as demonstrated in this case report.

Area of Science:

  • Ophthalmology
  • Infectious Diseases

Background:

  • Endogenous endophthalmitis is a severe intraocular infection.
  • Listeria monocytogenes is an uncommon but significant pathogen in endophthalmitis.

Observation:

  • A 41-year-old woman presented with symptoms of endophthalmitis.
  • Diagnosis was delayed by 17 days, confirmed by microbiological cultures.
  • The patient experienced profound visual loss.

Findings:

  • Prompt therapy led to decreased inflammation and intraocular pressure.
  • Pars plana vitrectomy was required for treatment.
  • Despite post-surgery complications, complete visual recovery was achieved.

Implications:

  • This case highlights the importance of timely diagnosis and intervention for Listeria monocytogenes endophthalmitis.

Related Experiment Videos

  • Aggressive management, including vitrectomy, can lead to favorable visual outcomes.
  • Increased awareness of this rare condition is necessary for ophthalmologists.