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Metastatic Pseudomonas endophthalmitis following bronchoscopy
H M Boisjoly1, V H Jotterand, R Bazin
1Department of Ophthalmology, Centre hospitalier de l'université Laval, Sainte-Foy, PQ.
Canadian Journal of Ophthalmology. Journal Canadien D'Ophtalmologie
|December 1, 1987
Summary
A rare case of metastatic endophthalmitis caused by Pseudomonas aeruginosa occurred after bronchoscopy. Despite treatment, enucleation was required, highlighting a potential complication of the procedure.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Pulmonology
Background:
- Bronchoscopy is a common procedure for investigating respiratory symptoms like hemoptysis.
- Metastatic endophthalmitis is a severe intraocular infection that can arise from a distant source of infection.
Observation:
- A 61-year-old woman developed uveitis in her left eye two weeks post-bronchoscopy.
- Pseudomonas aeruginosa was identified in both sputum and vitreous samples, indicating a systemic infection.
Findings:
- The patient was diagnosed with metastatic endophthalmitis, a condition initially unsuspected.
- Despite aggressive treatment including antibiotics and surgery, enucleation of the eye was ultimately necessary.
Implications:
- This case represents the first reported instance of metastatic endophthalmitis following bronchoscopy.
- It also provides the initial data on ceftazidime pentahydrate concentration within the vitreous humor of an infected human eye.