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Posterior Approach for Debridement of the Psoas Abscess
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Endogenous Bacterial Endophthalmitis Caused by Iliopsoas Abscess
Weiying Sun1, Yusuke Shiode1, Kazuki Tokumasu2
1Department of Ophthalmology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences.
Acta Medica Okayama
|May 6, 2021
Summary
A rare case of bacterial endophthalmitis in an elderly woman was successfully treated. The study highlights the importance of considering intramuscular abscess as a potential source of endogenous bacterial endophthalmitis.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Radiology
Background:
- Endogenous bacterial endophthalmitis is a serious intraocular infection.
- Early diagnosis and prompt treatment are crucial for visual recovery.
Observation:
- A 79-year-old woman presented with decreased vision and backache.
- Ophthalmic examination revealed bilateral vitreous opacities and retinal lesions.
- Computed tomography (CT) identified a left iliopsoas abscess caused by methicillin-sensitive S. aureus.
Findings:
- The patient received surgical drainage of the abscess, intravenous antibiotics, and intravitreal vancomycin.
- Best-corrected visual acuities (BCVA) in both eyes normalized within one year.
Implications:
- Intramuscular abscesses should be considered as a potential primary source of endogenous bacterial endophthalmitis.
- This case underscores the importance of a thorough systemic evaluation in patients with suspected endophthalmitis.
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