[Interdisciplinary approach to endogenous neonatal endophthalmitis. Case report]

Area of Science:

• Ophthalmology
• Neonatology
• Pediatric Infectious Diseases

Background:

• Neonatal endogenous endophthalmitis is a rare but severe ocular infection in newborns.
• It often presents in premature infants with significant comorbidities, including low birth weight, surgical complications, and sepsis.
• Prompt diagnosis and management are critical to prevent irreversible vision loss.

Observation:

• This case report details a preterm infant with a history of multiple abdominal surgeries.
• The infant developed sepsis, meningitis, and subsequently, neonatal endogenous endophthalmitis.
• The patient's complex medical history and comorbidities contributed to the development of the infection.

Findings:

• The case highlights the extremely low frequency of endogenous endophthalmitis in neonates.
• Sepsis and meningitis were identified as preceding conditions that likely facilitated the ocular infection.
• The clinical presentation and diagnostic challenges associated with this rare condition were observed.

Implications:

• This case underscores the importance of vigilant monitoring for ocular complications in critically ill neonates.
• An interdisciplinary approach involving neonatology, infectious disease, and ophthalmology is vital for optimal patient outcomes.
• Preserving visual health in neonates with endogenous endophthalmitis requires timely and coordinated medical intervention.