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Published on: February 6, 2021
Endogenous Pseudomonas endophthalmitis in an immunocompetent patient
D Diaz-Valle1, J M Benitez del Castillo, M J Fernandez Acenero
1Department of Ophthalmology, Hospital Clinico San Carlos, Madrid, Spain. daviddiazvalle@yahoo.es
This case study details a rare Pseudomonas aeruginosa infection in an immunocompetent woman, causing pneumonia, orbital cellulitis, and skin nodules. Despite treatment, eye involvement led to poor prognosis.
Area of Science:
- Infectious Diseases
- Ophthalmology
- Pulmonology
Background:
- Pseudomonas aeruginosa is an opportunistic pathogen.
- Community-acquired pneumonia can have severe complications.
Observation:
- An immunocompetent woman presented with pneumonia, fever, skin nodules, and acute vision loss.
- Ophthalmic examination revealed metastatic orbital cellulitis and panophthalmitis.
- Blood, sputum, skin, and vitreous cultures confirmed Pseudomonas aeruginosa.
Findings:
- Intravenous antibiotics resolved pneumonia, nodules, and orbital cellulitis.
- Despite aggressive treatment, enucleation was necessary due to eye involvement.
Implications:
- This case highlights the aggressive potential of Pseudomonas aeruginosa in immunocompetent hosts.
- It underscores treatment challenges and poor prognosis associated with ocular P. aeruginosa infections.
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