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Published on: November 5, 2019
Anterior uveitis and meningococcemia: a case report
M B Gorroño-Echebarria1, J Guzman-Blazquez, M A Teus-Guezala
1Department of Ophthalmology, Hospital Universitario Principe de Asturias, Alcalá de Henares, Spain. mbgech@yahoo.es
Purpose:
To describe a case of meningococcemia with anterior uveitis.
Methods:
Observational case report.
Results:
A 38-year-old woman developed meningococcal septicemia caused by Neisseria meningitidis type B. During her admission, she had pain in her left eye, inflammatory cells, and a fibrinous exudate in the anterior chamber and multiple posterior synechiae, all in the context of an anterior uveitis. She was treated with topical steroids and mydriatics with resolution of ocular inflammation.
Conclusions:
This case illustrates the possible association between anterior uveitis and a meningococcal septicemia, and the need for careful ophthalmologic examination when a red eye develops in this clinical context.
Insights
This case report highlights a potential link between meningococcal septicemia and anterior uveitis. Prompt ophthalmologic evaluation is crucial for patients presenting with red eye during meningococcal disease.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Microbiology
Background:
- Meningococcemia, a severe bloodstream infection caused by Neisseria meningitidis, can lead to various systemic and ocular complications.
- Anterior uveitis, inflammation of the iris and ciliary body, presents with ocular pain and visual disturbances.
Observation:
- A 38-year-old female patient presented with meningococcal septicemia due to Neisseria meningitidis type B.
- During hospitalization, she developed acute left eye pain, characterized by anterior chamber inflammatory cells, fibrinous exudate, and posterior synechiae.
Findings:
- The patient was diagnosed with anterior uveitis secondary to meningococcemia.
- Ocular inflammation resolved effectively with a treatment regimen of topical corticosteroids and mydriatics.
Implications:
- This case suggests a possible association between meningococcal septicemia and the development of anterior uveitis.
- Clinicians should consider a thorough ophthalmologic examination in patients with meningococcemia who develop red eye symptoms.
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