metricas
covid
Buscar en
Archivos de la Sociedad Española de Oftalmología (English Edition)
Toda la web
Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Bilateral enucleation due to multi-bacterial fulminant endogenous panophthalmiti...
Journal Information
Vol. 95. Issue 1.
Pages 34-37 (January 2020)
Share
Share
Download PDF
More article options
Visits
4
Vol. 95. Issue 1.
Pages 34-37 (January 2020)
Short communication
Bilateral enucleation due to multi-bacterial fulminant endogenous panophthalmitis
Enucleación bilateral por panoftalmitis endógena polimicrobiana fulminante
Visits
4
T.A. Chaparro Tapiasa, C.M. Rangel Gualdrona, H.A. Rodrigueza,b, L.M. Rodrigueza, L. Flores de los Reyesc,
Corresponding author
floresdelosreyes@gmail.com

Corresponding author.
, J.C. Sánchez Españac
a Departamento de Cirugía Plástica Ocular, Oncológica y Órbita, Fundación Oftalmológica de Santander FOSCAL, Santander, Colombia
b Departamento de Oftalmología, Universidad Industrial de Santander, Bucaramanga, Santander, Colombia
c Departamento de Oftalmología, Hospital General de Granollers, Granollers, Barcelona, Spain
This item has received
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (2)
Abstract

The case is presented of a 62 year-old woman with a rapid, progressive bilateral decrease in visual acuity and panuveitis with orbital cellulitis. She was also in poor general condition, with emesis and fever. Septicaemia due to Klebsiella pneumoniae and bilateral endogenous panophthalmitis were diagnosed. The ocular infection quickly progressed to sclerokeratitis and bilateral perforation despite broad spectrum systemic antibiotic management, and eventually the patient required bilateral enucleation. Microbiological cultures of the surgical pieces identified Klebsiella pneumoniae and Candida magnoliae.

To our knowledge, this is the third published case that required bilateral enucleation or evisceration due to endogenous panophthalmitis, and the first case of endogenous ocular infection caused by Candida magnoliae.

Keywords:
Panophthalmitis
Eye enucleation
Bacteraemia
Klebsiella pneumoniae
Candida magnolia
Resumen

Mujer de 62 años con disminución de la agudeza visual bilateral rápidamente progresiva y panuveítis con celulitis orbitaria, asociado a mal estado general, emesis y fiebre. Se diagnosticó septicemia por Klebsiella pneumoniae y panoftalmitis endógena bilateral. La afectación ocular progresó rápidamente a escleroqueratitis y perforación en ambos ojos pese a recibir manejo antibiótico sistémico de amplio espectro. Finalmente, la paciente requirió enucleación bilateral. Los cultivos microbiológicos de las piezas quirúrgicas identificaron Klebsiella Pneumoniae y Candida Magnoliae.

De acuerdo con nuestro conocimiento, es el tercer caso publicado que haya requerido enucleación o evisceración bilateral por panoftalmitis endógena y el primer caso de infección ocular endógena causada por Candida Magnoliae.

Palabras clave:
Panoftalmitis
Enucleación
Bacteriemia
Klebsiella pneumoniae
Candida magnoliae

Article

These are the options to access the full texts of the publication Archivos de la Sociedad Española de Oftalmología (English Edition)
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Archivos de la Sociedad Española de Oftalmología (English Edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos