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Endogenous Bacillus cereus panophthalmitis.

C L Cowan, W M Madden, G F Hatem

    Annals of Ophthalmology
    |February 1, 1987
    PubMed
    Summary
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    Drug abusers are susceptible to Bacillus cereus endophthalmitis, a severe intraocular infection. This rapidly progressing condition requires prompt ophthalmologic consideration due to its fulminant nature.

    Area of Science:

    • Ophthalmology
    • Infectious Diseases
    • Microbiology

    Background:

    • Endogenous endophthalmitis can rapidly progress to panophthalmitis.
    • Bacillus cereus is an opportunistic pathogen.
    • Drug abuse is a risk factor for severe infections.

    Observation:

    • Three cases of drug abusers with Bacillus cereus endophthalmitis were treated over seven years.
    • Ocular manifestations included severe pain, chemosis, proptosis, corneal infiltration, ring abscess, subretinal exudation, retinal hemorrhages, and perivasculitis.
    • Infection progressed rapidly and fulminantly, sometimes with fever and leukocytosis.

    Findings:

    • Bacillus cereus can cause severe, rapidly progressing endogenous endophthalmitis.
    • Drug abusers exhibit increased susceptibility to Bacillus cereus ocular infections.

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  • Characteristic ocular signs point to this specific pathogen.

    • Implications:

    • Ophthalmologists must consider Bacillus cereus in severe, rapidly evolving intraocular infections, especially in drug abusers.
    • Early recognition and treatment are crucial for managing Bacillus cereus endophthalmitis.
    • Understanding risk factors like drug abuse aids in diagnosing and treating severe eye infections.