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Bilateral endogenous Escherichia coli endophthalmitis
Archives of Internal Medicine
|August 1, 1980
Summary
A urinary tract infection caused Escherichia coli endophthalmitis in a 62-year-old man. While antibiotics and steroids cleared the eye infection, vision loss was permanent.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Urology
Background:
- Secondary bacterial endophthalmitis can arise from distant infections.
- Escherichia coli is a common pathogen in urinary tract infections.
Observation:
- A 62-year-old male presented with endophthalmitis attributed to an inadequately treated lower urinary tract infection.
- The patient developed vision loss secondary to the ocular infection.
Findings:
- Intravenous and local antibiotic and steroid therapy successfully eradicated the Escherichia coli infection.
- Despite successful infection control, the patient's blindness was irreversible.
Implications:
- This case highlights the potential for urinary tract infections to lead to severe ocular complications.
- Prompt and adequate treatment of urinary tract infections may prevent serious sequelae like endophthalmitis.
- The review of pathogenesis and management provides insights for clinical practice regarding secondary bacterial endophthalmitis.