A Case of Endophthalmitis Associated with V. Vulnificus Septicemia.

Shim, Jae Hyoung; Chung, In Young; Park, Jong Moon

Case Report

Journal of the Korean Ophthalmological Society 2004;45(4):686-690.
Published online April 1, 2004.

A Case of Endophthalmitis Associated with V. Vulnificus Septicemia.

Jae Hyoung Shim, In Young Chung, Jong Moon Park

Department of Ophthalmology, Gyeongsang National University College of Medicine, Korea. jmpark@gshp.gsnu.ac.kr

비브리오 패혈증 환자에서 발생한 안내염 1예

심재형 ( Sim Jae Hyeong ) , 정인영 ( Jeong In Yeong ) , 박종문 ( Park Jong Mun )

Abstract

PURPOSE
To report a case of endophthalmitis associated with Vibrio vulnificus septicemia. METHODS: Vibrio vulnificus septicemia patient was referred to us in consultation for abrupt onset left visual loss, severe periorbital swelling and conjunctival injection. RESULTS: Left eye showed suppurative intraocular inflammation. With a clinical impression of V. vulnificus endogeneous endophthalmitis, culture for causative organisms and intravitreal antibiotics injection were done. Two days later, we performed pars plana lensectomy, pars plana vitrectomy, intravitreal antibiotics, SF6 gas injection. Intraocular inflammation was subsided after operation, and the anatomical structure of the eyeball was preserved CONCLUSIONS: Immediate ophthalmologic examination is mandatory for ruling out endophthalmitis when Vibrio species septicemia patient complains of ophthalmic symptoms, such as blurred vision or ocular pain. When clinicians diagnose endophthalmitis, make an effort to identify causative organisms. When bacterial infection is suspected, inject antibiotics intravitreously or vitrectomy must be done as faster as possible.

Key Words: Endophthalmitis;Intravitreal injection;Vibrio vulnificus;Vitrectomy