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[Endogenous endophthalmitis following staphylococcus aureus meningitis]
Chigusa Shirakawa1, Chie Yanagihara1, Shin Takano1
1Division of Neurology, Nishi-Kobe Medical Center.
Rinsho Shinkeigaku = Clinical Neurology
|April 2, 2019
Summary
Endogenous endophthalmitis, a rare complication of meningitis, can cause vision loss. Prompt vitrectomy treatment in this case led to a full recovery of both neurological and ophthalmic functions.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Neurology
Background:
- Endogenous endophthalmitis is an uncommon but serious complication of bacterial meningitis.
- Staphylococcus aureus bacteremia can lead to severe systemic infections, including meningitis.
Observation:
- An 82-year-old woman with Staphylococcus aureus meningitis presented with fever and drowsiness.
- Following initial improvement, she developed bilateral decreased visual acuity, suggesting ocular involvement.
Findings:
- Ophthalmological examination confirmed probable endogenous endophthalmitis in both eyes.
- The patient underwent prompt surgical intervention with vitrectomy.
Implications:
- Early diagnosis and treatment of endogenous endophthalmitis are crucial for visual recovery.
- This case highlights the importance of comprehensive assessment in patients with severe infections.
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