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Menigococcal endophthalmitis: A rare cause of endogenous endophthalmitis

Emilio Manuel Páez Guillán1, Cristina Macía-Rodríguez2, Alba García Villafranca2

  • 1Complexo Hospitalario Universitario de Santiago de Compostela, Travesa da Choupana s/n, 15706 Santiago de Compostela, Spain.

Idcases
|November 26, 2020
PubMed

Insights

Neisseria meningitidis can cause severe endogenous endophthalmitis, often with meningitis. Complications are frequent, particularly with combined local antibiotic treatments, impacting visual acuity.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Microbiology

Background:

  • Neisseria meningitidis is an uncommon but serious cause of endogenous endophthalmitis.
  • Endogenous endophthalmitis requires prompt diagnosis and treatment to prevent vision loss.

Observation:

  • A case of a 46-year-old woman with endophthalmitis secondary to Neisseria meningitidis meningitis is presented.
  • The patient experienced a loss of visual acuity despite treatment with corticosteroids and antimicrobials.

Findings:

  • A literature review revealed that 75.7% of patients with Neisseria meningitidis endophthalmitis experienced complications.
  • Complication rates were higher in patients receiving local antibiotic treatment combined with other therapies.
  • Corticosteroid use did not significantly alter the rate of complications compared to non-corticosteroid treatment.

Implications:

  • Early recognition and appropriate management strategies are crucial for Neisseria meningitidis endophthalmitis.
  • Understanding complication prevalence can guide treatment decisions and improve patient outcomes.
  • Further research may be needed to optimize treatment protocols for this rare condition.
Keywords:
EndogenousEndophthalmitisInfectionMeningococcal

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