1. Haemophilus Influenzae Endogenous Endophthalmitis in an Immunocompetent Host.
- Author
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Tabuenca Del Barrio L, Mozo Cuadrado M, Compains Silva E, Aliseda Pérez De Madrid D, and Heras Mulero H
- Subjects
- Adolescent, Anti-Bacterial Agents therapeutic use, Cataract Extraction, Cefotaxime therapeutic use, Ceftazidime therapeutic use, Ciprofloxacin therapeutic use, Drug Therapy, Combination, Endophthalmitis diagnosis, Endophthalmitis drug therapy, Endotamponade, Eye Infections, Bacterial diagnosis, Eye Infections, Bacterial drug therapy, Haemophilus Infections diagnosis, Haemophilus Infections drug therapy, Humans, Immunocompromised Host, Infusions, Intravenous, Intravitreal Injections, Male, Slit Lamp Microscopy, Visual Acuity physiology, Vitreous Body microbiology, Endophthalmitis microbiology, Eye Infections, Bacterial microbiology, Haemophilus Infections microbiology, Haemophilus influenzae isolation & purification
- Abstract
Purpose : To report a case of endogenous endophthalmitis caused by Haemophilus influenzae in an immunocompetent host. Case report : A 13-year-old male presented with pain, blurriness, and decreased Visual Acuity (VA) of Hand Motion in his right eye. Slit-lamp examination revealed hypopyon. Fundoscopy showed vitritis, vasculitis, and retinal infiltrates. Echography revealed vitreous condensations. Empirical treatment with intravitreal Ganciclovir, oral Valacyclovir, and Dexamethasone was initiated with no improvement. Vitreous culture revealed Haemophilus influenzae growth. Then, intravenous Ciprofloxacin and Cefotaxime and intravitreal Ceftazidime were administered with gradual improvement. Lensectomy with Pars Plana Vitrectomy and intraocular tamponade was performed. Nevertheless, the visual outcome was poor. Conclusion : Pediatric endogenous bacterial endophthalmitis is a rare but potentially devastating infection which is often misdiagnosed. Moreover, we want to highlight the importance of an adequate clinical suspicion in cases of H. influenzae to prevent the serious complications seen in this report.
- Published
- 2021
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