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[Listeria monocytogenes endophthalmitis]
R Augsten1, E Königsdörffer, J Dawczynski
1Klinik für Augenheilkunde der Friedrich-Schiller-Universität Jena. Regine.Augsten@med.uni-jena.de
Klinische Monatsblatter Fur Augenheilkunde
|December 16, 2004
Summary
Listeria monocytogenes can cause endogenous endophthalmitis. This case report shows successful treatment and vision recovery, challenging the typically poor prognosis of this rare bacterial eye infection.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Microbiology
Background:
- Endogenous endophthalmitis is a severe intraocular infection with a generally poor visual prognosis.
- Listeria monocytogenes is an uncommon but serious cause of endogenous endophthalmitis.
- Limited data exists on the clinical course and outcomes of Listeria monocytogenes-induced endophthalmitis.
Observation:
- A case of a 24-year-old female patient with endogenous endophthalmitis is presented.
- Listeria monocytogenes was identified in the vitreous humor via pars-plana vitrectomy.
- The patient underwent comprehensive antibiotic treatment, including local, subconjunctival, intravitreal, and systemic administration.
Findings:
- Initial visual acuity of hand motion improved significantly to 0.5 by the end of treatment.
- Further improvement to 1.0 visual acuity was noted at a three-month follow-up.
- No evidence of systemic listeriosis or granuloma formation was observed.
Implications:
- This case suggests that endogenous endophthalmitis caused by Listeria monocytogenes can have a favorable prognosis with prompt and aggressive management.
- Successful visual recovery is achievable, contrary to the generally accepted poor outlook for endogenous endophthalmitis.
- Highlights the importance of early diagnosis and multi-modal treatment strategies for this rare but potentially devastating infection.