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Bacterial endogenous endophthalmitis after colonoscopy.

Edisa Armesto¹, Marta Cubillas², Sonia Antón¹

¹Aparato Digestivo, Hospital San Agustín, España.

Revista Espanola De Enfermedades Digestivas

|July 27, 2018

Summary

A rare Streptococcus bovis infection caused severe endogenous endophthalmitis after colonoscopy, leading to eye removal. Early diagnosis and antibiotic treatment are crucial for preventing vision loss in this serious ocular disease.

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Area of Science:

Ophthalmology
Infectious Diseases
Microbiology

Background:

Bacterial endogenous endophthalmitis is a severe intraocular infection originating from a distant bacterial source.
Streptococcus bovis is an opportunistic pathogen that can cause serious infections, particularly following gastrointestinal procedures.
Colonoscopy is a common medical procedure that can, in rare cases, lead to bacteremia.

Observation:

A patient developed bacterial endogenous endophthalmitis following a colonoscopy procedure.
The causative agent was identified as Streptococcus bovis.
The clinical presentation resulted in a poor visual outcome, necessitating evisceration.

Findings:

This case highlights Streptococcus bovis as a potential cause of endogenous endophthalmitis.
The infection progressed rapidly, leading to the loss of the eye.
Prompt and aggressive antibiotic therapy is essential for managing endogenous endophthalmitis.

Implications:

Early diagnosis and intervention are critical to improve visual prognosis in endogenous endophthalmitis.
Physicians should consider the risk of bacteremia and subsequent endophthalmitis in patients undergoing procedures like colonoscopy.
Intravenous and intravitreal antibiotics represent the cornerstone of treatment for this sight-threatening condition.