Metastatic Pseudomonas endophthalmitis following bronchoscopy

Symptoms of uveitis developed in the left eye of a 61-year-old woman 2 weeks after bronchoscopy to investigate hemoptysis. The true diagnosis of metastatic endophthalmitis was unsuspected for 1 month. Both sputum and vitreous samples yielded Pseudomonas aeruginosa when cultured. Despite aggressive m...

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Bibliographic Details
Published inCanadian journal of ophthalmology Vol. 22; no. 7; p. 378
Main Authors Boisjoly, H M, Jotterand, V H, Bazin, R, Bergeron, M G
Format Journal Article
LanguageEnglish
Published England 01.12.1987
Subjects
Bronchoscopy - adverse effects
Combined Modality Therapy
Endophthalmitis - etiology
Endophthalmitis - therapy
Female
Hemoptysis - diagnosis
Hemoptysis - etiology
Humans
Middle Aged
Pseudomonas aeruginosa - isolation & purification
Pseudomonas Infections - etiology
Sputum - microbiology
Vitreous Body - microbiology
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Summary:Symptoms of uveitis developed in the left eye of a 61-year-old woman 2 weeks after bronchoscopy to investigate hemoptysis. The true diagnosis of metastatic endophthalmitis was unsuspected for 1 month. Both sputum and vitreous samples yielded Pseudomonas aeruginosa when cultured. Despite aggressive medical treatment, subtotal vitrectomy and intraocular injections of antibiotics, enucleation was eventually necessary. To our knowledge this is the first reported case of metastatic endophthalmitis following bronchoscopy. It is also the first report of the concentration of ceftazidime pentahydrate in the vitreous humour of an infected human eye.
ISSN:0008-4182