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Pasteurella multocida endophthalmitis.

M E Hoffman1, E M Sorr, M Barza

  • 1Department of Ophthalmology, Central Medical Center and Hospital, Pittsburgh, PA 15219.

The British Journal of Ophthalmology
|August 1, 1987
PubMed
Summary
This summary is machine-generated.

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A rare case of Pasteurella multocida endophthalmitis occurred without animal contact. Despite ampicillin treatment, extensive retinal necrosis led to poor vision.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Microbiology

Background:

  • Endophthalmitis is a severe intraocular inflammation, often caused by bacterial or fungal infections.
  • Pasteurella multocida is a bacterium commonly associated with infections following animal bites or scratches.

Observation:

  • An unusual case of endophthalmitis was diagnosed secondary to Pasteurella multocida infection.
  • The patient presented with no history of animal bites or scratch wounds, differentiating it from typical presentations.

Findings:

  • Treatment involved subconjunctival, parenteral, and intravitreal administration of ampicillin.
  • While the ocular infection was successfully sterilized, significant retinal necrosis resulted in persistent poor visual acuity.

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Implications:

  • This case highlights the potential for Pasteurella multocida to cause endophthalmitis through non-traditional routes.
  • It underscores the importance of considering atypical pathogens in endophthalmitis, even without a clear exposure history.
  • Aggressive treatment may sterilize the eye, but severe visual impairment can persist due to irreversible retinal damage.