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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
PubMed

Insights

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.
Keywords:
Staphylococcus aureusbacterial meningitisendophthalmitis

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