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Published on: February 6, 2021
Subclinical endophthalmitis following a rooster attack
Jaclyn Lekse Kovach1, Srilakshmi Maguluri, Franco M Recchia
1Vanderbilt Eye Institute, Vanderbilt University Medical Center, Nashville, Tennessee 37232, USA.
Summary
Rooster attacks can cause severe eye injuries, especially in young children. A rare case highlights alpha-streptococcal endophthalmitis developing insidiously after such an ocular trauma.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Infectious Diseases
Background:
- Ocular trauma from animal attacks is uncommon.
- Young children are particularly vulnerable to rooster attacks due to their naiveté.
- Such injuries can lead to significant visual impairment.
Observation:
- A 12-month-old boy sustained an open globe injury from a rooster attack.
- Following emergency repair, a white cataract developed one week later.
- Signs of inflammation were absent, suggesting an occult infection.
Findings:
- Traumatic endophthalmitis and a lenticular abscess were suspected.
- Surgical intervention included vitrectomy, lensectomy, and intravitreal antibiotics.
- Cultures revealed alpha-streptococcus, confirming a rare cause of post-traumatic endophthalmitis.
Implications:
- Alpha-streptococcal endophthalmitis can present subtly after rooster-related eye injuries.
- Early recognition and management are crucial for visual preservation.
- This case underscores the need to consider unusual infections in pediatric ocular trauma.
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