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Eikenella corrodens liver abscess complicated by endophthalmitis
A Joseph1, D N Lobo, I D Gardner
1Department of Ophthalmology, Derbyshire Royal Infirmary, Derby, UK.
European Journal of Gastroenterology & Hepatology
|September 23, 1998
Summary
A rare case of Eikenella corrodens liver abscess led to endophthalmitis (eye infection). Successful treatment involved surgery and abscess drainage, highlighting a unique medical complication.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Hepatology
Background:
- Pyogenic liver abscesses can lead to serious systemic complications.
- Endophthalmitis, an inflammation of the eye's interior, can cause vision loss.
- Eikenella corrodens is an unusual cause of liver abscesses.
Observation:
- A 64-year-old male presented with sudden unilateral vision loss.
- The patient was diagnosed with endophthalmitis secondary to a pyogenic liver abscess.
- Eikenella corrodens was identified in blood and liver abscess cultures.
Findings:
- This case represents the first reported instance of an Eikenella corrodens liver abscess complicated by endophthalmitis.
- Successful management was achieved through subtotal vitrectomy and percutaneous liver abscess drainage.
Implications:
- This case expands the known spectrum of complications associated with Eikenella corrodens liver abscesses.
- Highlights the importance of considering systemic sources, including liver abscesses, in cases of endophthalmitis.
- Suggests prompt diagnosis and multidisciplinary management are crucial for favorable outcomes in such rare presentations.