Endogenous Presumed Bacterial Endophthalmitis of the Right Eye Following Cellulitis of the Right Leg

Vitreo-Retina

Abstract

Background: We report a case of Endogenous presumed bacterial endophthalmitis of the right eye in a 26-year-old male adult  following an aggressive cellulitis of the right leg. 

Discussion: Generally, blood cultures are the most frequent means of establishing diagnosis of Endogenous endophthalmitis.1-2  However, in this case the blood culture did not yield any growth. We strongly presumed bacterial intraocular infection in this case  because of the satisfactory response of the patient to intravenous antibiotics. Jackson et al2 in their review of 267 reported cases from  different regions of the world showed that gram negative bacteria were common in Asian while gram positive bacteria were common  in North America and Europe. Uhumwangbo and Osaguoma3 reported a mixture of Candida and Haemophilus species in their only  reported case in Benin City, Nigeria. Endogenous Endophthalmitis is associated with poor visual prognosis because of delayed  diagnosis and intervention as noted in this case2,4. Systemic antibiotics are said to be more valuable in endogenous endophthalmitis than in postoperative or traumatic endophthalmitis and that intraocular antibiotic injection and vitrectomy make only a limited  contribution to its successful treatment5 .